About this opportunity
Duly Health and Care lists this RN Case Manager - Care Ally opportunity in naperville, Illinois. Review the employer’s description below for duties, qualifications and application requirements.
Job description
At Duly Health and Care , you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician‑led team that works as one and puts patients at the center of everything we do. With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high‑quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve.
Benefits
Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance
Access to a mental health benefit at no cost
Employer provided life and disability insurance
$5,250 Tuition Reimbursement per year
Immediate 401(k) match
40 hours paid volunteer time off
A culture committed to community engagement and social impact
Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non‑physician team members once eligibility requirements are met
Position Details
Full‑time, 40 hours per week. Monday through Friday, 8:00 a.m. to 5:00 p.m.; flexibility to work later as needed.
Job Summary
The RN Case Manager – Care Ally works in collaboration with physicians, patients, and families to promote quality outcomes for patients with complex medical needs. The case manager is responsible for increasing efficient utilization of health care services; identifying chronic or catastrophic cases through the case management process and initiating intensive case management according to program guidelines. The case manager manages patients in all health care settings to assure the appropriate level of care is provided, to prevent inpatient re‑admissions and ensure that the patients’ medical, environmental and psychosocial needs are met over the continuum of care. The nurse case manager acts as an advocate through the coordination and communication with the health care team and family regarding care planning and implementation of recovery goals. In addition, the case manager will assess and coordinate resources available to patients and maximize the use of health care benefits.
Responsibilities
Analyze data collected from predictive modeling tools to identify eligible patients for the Case Management Program
Enroll and manage a case load of patients with complex medical needs, completing case management attestations and initial assessments in accordance with health plan requirements
Develop individualized case management plans with prioritized goals and appropriate interventions in compliance with the risk stratification level requirements; complete all documentation, member communications and case closures per policies and procedures
Proficient in knowledge of current Case Management Standards
Coordinate health care services with appropriate physicians and health care providers
Manage and provide a comprehensive summary and log of all active case management cases as required by the UM/QA Committee and/or health plan
Act as a resource for utilization management staff, physicians, office staff and patients
Assist with the evaluation and amendment of case management policy and procedures
Attend continuing education sessions and training relating to your job functions as required
Perform additional duties/tasks as assigned
Qualifications
If you are committed to putting our patients first and helping shape the future of care, you belong at Duly.
Licensure / Certification
Must be an active Registered Nurse License in the State of Illinois in good standing
Certification in case management, preferred
Current CPR certification (BLS) must be maintained
Education
Associate’s degree in nursing required; Bachelor’s degree in nursing preferred
Experience
2‑4 years of experience working within the primary care or hospital setting as a registered nurse
Previous experience working within case management preferred
The compensation for this role includes a base pay range of $67,000–$101,000 with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.
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Worksite address
naperville, IL, 60564, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.