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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in health assessments, care planning, and chronic condition management while effectively navigating healthcare systems. Proficient in providing personalized patient education and overcoming barriers to care, ensuring optimal health outcomes for members.
Highest-signal resume keywords
Licensed Registered Nurse (RN)Bachelor's Degree in Nursing (BSN)Clinical Acute Care ExperienceCertified Case Manager (CCM)Bilingual in English/Spanish
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Health AssessmentsCare PlanningChronic Condition ManagementPatient EducationCase ManagementDischarge PlanningHealth PromotionCritical ThinkingData MonitoringCommunity Resource Knowledge
Soft Skills
CommunicationEmpathyProblem-SolvingInterpersonal SkillsAdaptability
Tools & Technologies
Telehealth SystemsHealthcare Management SoftwareData Analysis ToolsCommunication Platforms
Certifications & Qualifications
Licensed Registered Nurse (RN)Certified Case Manager (CCM)
Industry Keywords
Managed CareMedicareMedicaidCommunity HealthSocial ServicesPatient Health Information (PHI)HIPAA Compliance
About the role
Key responsibilities & impact- Work with an assigned member population in Illinois over the phone
- Perform health assessments, care planning, and education on chronic conditions and gaps in healthcare plans
- Employ strategies, approaches, and techniques to manage members' physical, environmental, and psychosocial health issues
- Identify and resolve barriers to effective care
- Continuously monitor patient care using assessments, data, conversations with members, and active care planning
- Ensure patients progress toward desired outcomes
- Navigate multiple systems and use critical thinking skills
- Provide personalized assessments, ongoing care planning, and expert guidance over the phone
- Help members overcome barriers to care, manage chronic conditions, and connect with vital resources
Requirements
What you’ll need- Bachelor's degree in nursing (BSN) or health related field
- Licensed Registered Nurse (RN) in the state of Illinois with no disciplinary action or ability to obtain IL RN licensure
- Minimum of 3 years of clinical acute care experience as a licensed RN
- Experience with health promotion, coaching and wellness
- Bilingual in English/Spanish, English/Polish, or English/Creole (preferred)
- Experience with case management, discharge planning and patient education for adult acute care (preferred)
- Managed care experience (preferred)
- Certified Case Manager (CCM) (preferred)
- Prior experience with Medicare & Medicaid recipients (preferred)
- Knowledge of community health and social service agencies and additional community resources (preferred)
- Minimum download speed of 25 Mbps and upload speed of 10 Mbps
- Wireless, wired cable or DSL connection is suggested
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
Benefits
Comp & perks- Bonus incentive plan based upon company and/or individual performance
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Remote work from home
- Occasional flexibility in scheduling