Case Manager - RN

Posted 21 Days Ago
Be an Early Applicant
St. Charles, IL, USA
In-Office
60K-66K
Junior
Healthtech • Insurance • Professional Services
The Role
Use clinical RN experience to assess patients, develop and implement individualized care plans, coordinate services with providers and payers, advocate for patients, complete documentation, and perform rare onsite evaluations. Full-time, weekdays, with hybrid option after orientation.
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Description

About Us

Hines is a nationwide, independent leader in personalized managed health care, focused on what’s important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates, Inc.’s reputation as an industry leader is founded on over three decades of innovative and professional health care excellence. Serving all aspects of the industry, Hines is committed to conserving health care dollars while ensuring quality care through effective programs and personalized service.

We are growing and are looking for nurses who are ready to leave hands on nursing and expand their careers! Come work in a supportive, safe and friendly environment that provides opportunities for growth!

Overview:

Our Case Manager role allows you to utilize your clinical nursing experience to develop a plan for meeting health care needs of the patient, while continuing to professionally grow in health care knowledge and perspective. Be the patient advocate you desire to be!


Specialty Case Manager positions also available!

  • Oncology:                    Minimum of 2 years acute oncology preferred but not required.
  • Chronic Condition:   Minimum of 2 years of disease management preferred but not required.
  • Behavioral Health:   Minimum of 2 years in a full-time acute inpatient setting or specialty area (i.e., emergency department,      inpatient BH (including float), or treatment program)

This position is full-time, Monday - Friday, no weekends or nights! This is an in-office position until successful completion of the orientation period and then there is an option for a hybrid option of two days working from home and three days in the office.

  • A regular full-time schedule.
  • Hybrid home/office opportunity after successful completion of orientation period.
  • No weekends, nights or holidays!

WHAT WE OFFER:

  • Competitive salary and benefits, including medical, dental, vision, long-term care, short-term disability, long-term disability, company paid and voluntary life insurance.  Critical Illness, accident insurance and flexible spending also available!
  • 401k plan with company match, fully vested after 1 year.
  • No weekends and nights!
  • Paid Holidays
  • Work-life balance.

Hines is a 37 year company recognized in the industry for high standards and quality work

PM21

Requirements

Qualifications:

  • Hines and Associates only hires licensed/certified medical professionals with an unrestricted license/certification in the state or in a state that has licensure reciprocation with the state of the office location the employee is working in. Must be an RN.
  • Successful completion of case management orientation program
  • Minimum of 2 years full time acute impatient setting or specialty area (i.e. ICU, ER, Oncology, NICU, Acute Rehab)
  • Excellent communication skills
  • Basic typing/computer knowledge with minimum keyboarding speed of 35WPM; 6) Previous case management experience helpful but not required.
  • Previous case management or insurance industry experience helpful but not required.

Physical Requirements:

  • No significant physical exertion required.
  • rare travel to do onsite evaluations for patients as required at homes, hospitals, etc.

*Hines welcomes diversity and as an equal opportunity employer all qualified applicants will be considered regardless of race, religion, color, national origin, sex, age, sexual orientation, gender identity, disability or protected veteran status.*

Skills Required

  • Current RN license with unrestricted licensure or reciprocity in the state of the office location
  • Successful completion of case management orientation program
  • Minimum 2 years full-time experience in an acute inpatient setting or specialty area (ICU, ER, Oncology, NICU, Acute Rehab)
  • Excellent communication skills
  • Basic computer proficiency and typing speed of at least 35 WPM
  • Previous case management or insurance industry experience
  • Oncology specialty: minimum 2 years experience (acute oncology preferred)
  • Chronic Condition specialty: minimum 2 years (disease management experience preferred)
  • Behavioral Health specialty: minimum 2 years in a full-time acute inpatient or specialty area (ED, inpatient BH, treatment program)
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The Company
Year Founded: 1987

What We Do

Hines & Associates, Inc. is a nationwide, independent leader in personalized managed health care. The company provides comprehensive services including utilization review, preauthorization, and precertification, focusing on program excellence and cost containment. With over three decades of experience, it serves as a partner for third-party administrators (TPAs) and is a member of the Global Excel family, managing a wide range of inpatient and outpatient cases.

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