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clinical coordinator

clinical practice consultant rn administrative operations 27332

Rush University Medical Center

<div>
 Location: Chicago, Illinois
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 <br/>
 Business Unit: Rush Medical Group
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 Hospital: Rush University Medical Center
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 Department: RUMG Admin Operation
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 Work Type: Full Time (Total FTE between 0.9 and 1.0)
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 Shift: Shift 1
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 Work Schedule: 8 Hr (7:00:00 AM - 3:00:00 PM)
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 <br/>
 Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
 <br/>
 <br/>
 Pay Range: $47.09 - $84.29 per hour
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 <br/>
 Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush&rsquo;s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
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 <br/>
 <strong>
  Summary
  <br/>
  <br/>
 </strong>
 The Clinical Practice Consultant RN, is an informal nurse leader responsible for maintaining and improving clinical operations and quality of care for the Rush Medical Group (RMG).
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 This role is responsible for ensuring the delivery of high-quality patient care which requires a combination of clinical expertise, strong communication skills, and a deep understanding of quality improvement methodologies. The Clinical Practice Consultant - RN plays a key role in implementing quality improvement initiatives, serving as a subject matter expert in ambulatory care delivery, and driving standardization of evidence-based clinical practices across ambulatory settings to optimize patient outcomes, safety, and operational efficiency.
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 This person exemplifies the RUSH mission, vision, and values and acts in accordance with RUSH policies and procedures.
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 Reports To
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 Director of Clinical Practice , Rush Medical Group
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 <br/>
 <strong>
  Other Information
  <br/>
  <br/>
 </strong>
 Job Requirements
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 <br/>
 <ul>
  <li>
   Current State of Illinois registered nurse license.
  </li>
  <li>
   Master&rsquo;s degree or higher.
  </li>
  <li>
   National nursing certification required within one year of hire.
  </li>
  <li>
   Maintain current basic life support (BLS) certification.
  </li>
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   A minimum of three years of registered nurse experience with at least two years of ambulatory experience.
  </li>
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   Formal rounding and on-site presence within the dedicated region is required at least 50% of the time.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Preferred Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Progressive leadership or quality experience
  </li>
  <li>
   Green Belt Certification
  </li>
  <li>
   Analytical ability
  </li>
  <li>
   Communication skills are required to lead and teach
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Responsibilities
  <br/>
  <br/>
 </strong>
 Responsibilities
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 Evidence-Based Intervention
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 <ul>
  <li>
   The Clinical Practice Consultant, RN conducts comprehensive reviews of clinical practices to identify areas for improvement; implements new guidelines and evidence-based protocols to enhance patient outcomes.
  </li>
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   Utilizes evidence-based teaching and learning strategies to guide the development and implementation of training programs.
  </li>
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   Uses data-driven analysis to assess the effectiveness of evidence-based interventions, refining and adjusting practices to improve care quality and meet evolving healthcare standards.
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   <br/>
  </li>
 </ul>
 Relationships and Caring
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 <ul>
  <li>
   Builds strong relationships with multidisciplinary, and cross-functional teams by promoting open communication, mutual respect, and collaboration, ensuring that all staff work cohesively to provide patient-centered care.
  </li>
  <li>
   Provides mentorship and support to clinical staff to enhance their knowledge and skills.
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   <br/>
  </li>
 </ul>
 Critical Thinking
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 <ul>
  <li>
   Interpret patient care data and performance metrics to identify trends, anticipate challenges, and implement evidence-based solutions that enhance outcomes and efficiency.
  </li>
  <li>
   Applies critical thinking to complex patient cases; collaborates with clinical teams to develop innovative treatment plans that address unique needs and improve patient outcomes.
  </li>
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   Implements processes to algin clinical practices with the organization&rsquo;s goals.
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   Implements strategies to minimize complications, improve safety protocols, and maintain high standards of care within the organization.
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  </li>
 </ul>
 Technical Expertise
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 <ul>
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   Leverages advanced healthcare technologies, such as electronic health records (EHR) and clinical decision support systems, to streamline workflows, improve data accuracy, and enhance patient care outcomes.
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   Utilizes data analytics tools to track patient outcomes, identify areas for improvement, and inform evidence-based decisions that optimize clinical practices and resource allocation.
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   Implements and monitors technological solutions that support continuous quality improvement initiatives, ensuring compliance with regulatory standards and enhancing patient safety and care quality.
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   Provides ongoing education and training to clinical staff on the use of new medical technologies and software, ensuring teams are proficient and able to maximize these tools for better patient outcomes.
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  </li>
 </ul>
 Leadership
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 <ul>
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   Serves as a clinical leader and role model for employees.
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   Facilitates change management initiatives to drive improvements in clinical practice.
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   Obtains/ maintains knowledge of innovations and trends in practice and technology and is a champion for change to enhance quality and improve efficiency.
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   Demonstrates accountability for own professional practice, including progress toward achievement of annual goals.
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   Actively participates and leads RMG quality improvement/ quality assurance initiatives. Examples of the Clinical Practice Consultant, RN Leader Standard Work includes:
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   Participation in clinic huddles
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   Completion of Quality Assurance/ Performance Improvement (QAPI) audits
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  </li>
 </ul>
 Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
</div>


Clinical Practice Consultant RN - Administrative Operations-27332

Bucktown Wicker Park Dental

<p>Our General and Pediatric Dental Practice is seeking an experienced Front Office / Insurance Claims Specialist to join our growing startup practice. This position is ideal for a candidate who enjoys both patient interaction and the administrative side of dentistry, with a strong emphasis on insurance verification and claims management. The individual in this role will play a key part in establishing efficient systems, supporting both the pediatric and general dentistry practices, and helping deliver an exceptional patient experience as the office continues to grow.</p><p><b>Schedule:</b></p><ul><li>Tuesday: 8:30 AM &ndash; 5:30 PM (In Office)</li><li>Wednesday: 8:30 AM &ndash; 5:30 PM (Remote)</li><li>Thursday: 8:30 AM &ndash; 5:30 PM (In Office)</li><li>Friday: 8:30 AM &ndash; 5:30 PM (Remote)</li><li>Saturday: 7:30 AM &ndash; 2:30 PM (In Office)</li></ul><p><b>Responsibilities and Requirements:</b></p><ul><li>At least 2 years of dental front office experience preferred</li><li>Verify patient insurance benefits and eligibility prior to appointments.</li><li>Submit, track, and follow up on insurance claims.</li><li>Resolve claim denials and assist with insurance-related questions.</li><li>Answer incoming phone calls and assist patients with scheduling needs.</li><li>Manage patient schedules and appointment confirmations.</li><li>Check patients in and out and maintain accurate patient records.</li><li>Collect copays, balances, and process patient payments.</li><li>Coordinate treatment plans and review financial arrangements with patients.</li><li>Communicate professionally with insurance companies regarding claims and benefits.</li><li>Monitor call logs and maintain timely follow-up with patients.</li><li>Assist with administrative projects and office operations as the practice grows.</li><li>Support both the general and pediatric sides of the practice as needed.</li></ul><p>Job Type: Full-time</p><p>Pay: $25.00 - $27.00 per hour</p><p>Benefits:</p><ul><li>Paid time off</li></ul><p>Work Location: In person</p>

Front Office Coordinator

Heartland Dental

<div><div><p><b>Strategic Sourcing Program Manager</b></p><p>
Heartland Dental is the nation's largest dental support organization, providing non-clinical administrative support services to more than 3,000 supported doctors across 39 states and the District of Columbia in over 1,900 dental offices. Each Heartland Dental supported office is unique to the community and the patients they serve. Supported doctors are the leaders of their practice and retain clinical autonomy. All Heartland Dental supported Doctors are united by a common goal: delivering the highest quality dental care and experiences to the communities they serve.</p><p>
The Strategic Sourcing Program Manager will contribute to the company&rsquo;s success by partnering with suppliers and internal support teams to lead strategic initiatives that influence business decision-making, improve department maturity, and drive value across multiple sourcing categories. Ideal candidates will be strong generalists with exceptional problem-solving skills, project management capability, analytical acumen, and the ability to communicate clearly with a variety of stakeholders.</p><p>
The Strategic Sourcing Program Manager is an individual contributor role that reports to the Director of Strategic Sourcing. They will work closely with clinical and technical experts, providing support to all areas of the business including Dental Supplies, Equipment, &amp; Lab Services, Facilities, IT, Marketing, Education, Human Resources and Recruiting.</p></div><div><p><b>
Below is an overview of the duties and responsibilities you would take on in this role:</b></p><ul><li>
Lead strategic sourcing initiatives across key spend categories by translating complex problems into structured project plans, coordinating cross-functional teams, and managing timelines to ensure successful execution</li><li>
Lead sourcing events including competitive RFPs, supplier evaluations, and contract negotiations to optimize spend, improve supplier performance, and ensure favorable pricing, terms, and compliance with organizational standards</li><li>
Partner with cross-functional stakeholders to define sourcing requirements, align on business needs, and drive effective purchasing events</li><li>
Analyze spend data, supplier performance, market trends, and competitive benchmarks to identify cost-saving opportunities and develop strategic sourcing recommendations</li><li>
Synthesize complex analyses and supplier proposals into clear reporting and presentations to support leadership decision-making and communicate initiative status, outcomes, and recommendations</li></ul></div><div><p><b>
Minimum Requirements:</b></p><ul><li>
Bachelor&rsquo;s degree in Supply Chain, Finance, Business or related field</li><li>
Minimum 3&ndash;5 years of relevant experience in supply chain, strategy, finance, and/or consulting</li><li>
Ability to travel up to 1 time per month for 2-3 days at a time</li><li>
Advanced technical skills with Microsoft PowerPoint &amp; Excel (Macros, xlookups, IF statements, and PivotTables a must)
</li><li>Strong organizational skills, accuracy, and attention to detail</li><li>
Proven ability to structure and solve ambiguous problems, analyze trade-offs, and drive to actionable solutions</li><li>
Comfortability working independently and navigating ambiguity in a fast-paced environment</li><li>
Strong ability to prioritize tasks and structure work to achieve measurable business outcomes</li><li>
Ability to measure the effectiveness of business decisions by developing and reporting out KPIs</li><li>
Ability to lead and collaborate across functions</li><li>
Clear and concise verbal and written communication
</li><li>Confident presenter with the ability to engage and influence Senior Leadership</li></ul><p><b><i>
Desirable Qualifications:</i></b></p><ul><li>
MBA or similar advanced degree from a top-tier university preferred</li></ul><p>
 <b><i>Physical Requirements:</i></b></p><ul><li>
Ability to perform essential duties satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties of the position</li><li>
Prolonged periods sitting at a desk and working on a computer</li><li>
Must be able to lift up to 15 pounds at times</li></ul><p>
We put our people first at Heartland Dental, and that shows in our generous benefits package.</p><p>
Company retains the sole discretion to change the duties of the position at any time.</p><p>
We provide all employees and applicants for employment the protections of federal, state, and local laws affording equal opportunity in employment.</p></div></div>

Strategic Sourcing Program Manager

The Flossophy Group

<p>The Flossophy Group is a modern, forward-thinking dental organization located in the Chicago Streeterville area, focused on clinical excellence, innovation, and continued team development. The practice is committed to delivering an elevated experience for both patients and team members through advanced technology, strong collaboration, and high-quality care.</p><p>The Streeterville office is currently seeking a Registered Dental Hygienist to join its growing clinical team. The ideal candidate is passionate about providing personalized, patient-focused care and is committed to helping patients achieve and maintain optimal oral health in a comfortable, welcoming environment.</p><p>This role offers the opportunity to work in a supportive and team-oriented setting that values professionalism, patient satisfaction, and ongoing growth within a modern dental practice.</p><p>Benefits for the Dental Hygienist:</p><ul><li>Health Insurance</li><li>401(k) Retirement Plans</li><li>Paid Parking</li><li>Paid Holidays Off</li><li>Paid Time Off</li><li>Access to gym, including indoor pool and tennis court access</li></ul><p>Schedule for the Dental Hygienist:</p><ul><li>Monday: 8:00 AM - 5:00 PM</li><li>Tuesday: 8:00 AM - 5:00 PM</li><li>Wednesday: 8:00 AM - 5:00 PM</li><li>Thursday: 7:00 AM - 5:00 PM</li><li>Friday: 8:00 AM - 3:00 PM</li></ul><p>*Looking for 3-4 days a week</p><p>Responsibilities for the Dental Hygienist:</p><ul><li>Evaluate patients&rsquo; oral health by performing screenings and identifying hygiene needs</li><li>Carry out routine prophylaxis, including scaling and polishing during preventive care visits</li><li>Educate and guide patients on proper oral hygiene practices and long-term maintenance</li><li>Perform scaling and root planing procedures when clinically indicated</li><li>Ensure all instruments and treatment areas are properly sterilized and maintained in accordance with infection control standards</li><li>Accurately document all clinical findings and treatment notes prior to patient dismissal</li><li>New graduates are welcome to apply.</li></ul><p>Pay: $60.00 - $70.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Employee discount</li><li>Flexible schedule</li><li>Health insurance</li><li>Paid time off</li></ul><p>Work Location: In person</p>

Dental Hygienist

Thresholds

<div>
 Thresholds is a mission-driven agency with a deep commitment to diversity, equity, and inclusion. We foster an environment where all feel valued and respected, a place where every employee can be themselves, thrive, and support the agency&rsquo;s mission.
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 You will greet, sign in, and provide excellent customer service to Thresholds clients, staff, and guests. As a central part of the location, you will build cordial relationships with the clients and contribute to a pleasant atmosphere in the building. Desk clerks also ensure safety by monitoring security cameras and making sure doors are locked and closed. You will contribute to client recovery by communicating with clinical teams verbally and through records. Additionally, you will support the program by answering and transferring phone calls, sorting mail, and completing other administrative tasks.
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 Opportunities for paid training and professional development, including learning more about clinical skills, will deepen your knowledge of the mental health field. Thresholds fosters opportunities for growth in administrative, leadership, or clinical skills.
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 <strong>
  To succeed in this role, you need:
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  <br/>
 </strong>
 <ul>
  <li>
   Passion for mental health advocacy
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   High school diploma or GED certificate
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   To be at least 21 years old
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   Reliable personal or public transportation to get to work location
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   Effective communication and relationship-building skills
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   Attention to detail and dependability
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   SHIFT: Saturday - Wednesday 2:30 PM- 11:00 PM
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  </li>
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 <strong>
  What sets Thresholds apart:
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 <ul>
  <li>
   Competitive Pay: Pay Range: $18.50/hrly
  </li>
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   Based upon education, experience, and licensure
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  <li>
   $1000 salary increase for LSW or LPC licensure
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   $1000 salary increase for CRSS
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  <li>
   Generous PTO
  </li>
  <li>
   Dental insurance, vision insurance, 4 medical insurance plans
  </li>
  <li>
   403(b) retirement plans with 3% employer match
  </li>
  <li>
   Robust employee assistance program (EAP)
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  <li>
   Mileage reimbursement
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   Cell phone reimbursement (up to $50/month)
  </li>
  <li>
   Public service loan forgiveness
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   Supervision for clinical licensure at no cost (LSW, LCSW, LPC, LCPC)
  </li>
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   Reimbursement for licensure and licensure renewal
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   <br/>
  </li>
 </ul>
 Thresholds is a mission-driven agency with a deep commitment to fostering an environment where all feel valued and respected, a place where every employee can be themselves, thrive, and support the agency&rsquo;s mission. Click here to learn more.
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 One of the oldest and largest community mental health organizations in Illinois, we pride ourselves in being a Chicago Tribune Top Workplace and one of Chicago&rsquo;s 101 Best &amp; Brightest Companies to Work For, several years in a row.
</div>


Desk Clerk

The University of Chicago

<div><p><b>Department</b></p>
BSD OCR - Clinical Research Incubation<p><b><br>
About the Department</b></p>
The Office of Clinical Research (OCR) is the nucleus of the clinical research enterprise, providing services, training, tools and compliance oversight to support the conduct of clinical research across the entire Biological Sciences Division and University of Chicago Medicine human subject research portfolio.
<br>
<br>
The mission of the Office of Clinical Research is to catalyze clinical research by providing expertise, resources, infrastructure, and systems that facilitate clinical research operations and enable collaboration across the enterprise while promoting compliance and human subject protection on behalf of our diverse community of patients and volunteers. Together, we elevate the human experience with knowledge and health care.<p><b><br>
Job Summary</b></p>
The job provides technical research support activities related to collecting, documenting, and reporting on basic clinical studies. Supports the administrative and operational tasks for clinical research conducted across the University.<br>
<br>
The Clinical Research Assistant is part of the Research Incubation Unit of the Office of Clinical Research. The Clinical Research Assistant (RA) is a specialized research professional working with and under the direction of the clinical Principal Investigator (PI). While the Principal Investigator is primarily responsible for the overall design, conduct, and management of clinical research projects, the RA oversees, facilitates and coordinates the daily activities of clinical research and plays a critical role in the conduct of the studies to ensure compliance with federal and institutional regulations. This position is housed within the Research Incubation Unit but will work specifically with investigators in the Orthopaedic Surgery Department. By performing these duties, the RA works with the PI, department, sponsor, and institution to support and provide guidance on the administration of the compliance, financial, personnel and other related aspects of the clinical studies. This position will have primary accountability to the Clinical Research Manager for the Department of Orthopaedic Surgery within the Office of Clinical Research.<br>
<br>
This at-will position is wholly or partially funded by contractual grant funding which is renewed under provisions set by the grantor of the contract. Employment will be contingent upon the continued receipt of these grant funds and satisfactory job performance.<p></p><p><b>
Responsibilities</b></p><ul><li><p>
Research tasks include recruitment, screening for eligibility, consenting participants, conducting research assessments, data entry, and subject follow-up and scheduling.</p></li><li><p>
Perform specific protocol procedures (specimens and data management, survey/questionnaire administration and the like) required to conduct the study and retain research subjects. Understands protocols and may collect information about adverse events (AEs), identified in the protocol or investigator brochure.</p></li><li><p>
Participates in study-related documentation, such as protocol worksheets, procedural manuals, adverse event reports, institutional review board documents, or progress reports.</p></li><li><p>
May perform data abstraction and entry for retrospective chart review studies.</p></li><li><p>
Meets with the study PI on a regular basis to discuss study updates.</p></li><li><p>
Performs all tasks in basic clinical studies.</p></li><li><p>
Supports quality assurance reviews conducted by study sponsors, federal agencies, or specially designated review groups.</p></li><li><p>
Acquires and applies knowledge of clinical studies to collect analyzable clinical research data and/or samples.</p></li><li><p>
Performs other related work as needed.<br>
</p></li></ul><p><br>
<b>Minimum Qualifications</b></p><p><b>
Education:</b></p>
Minimum requirements include vocational training, apprenticeships or the equivalent experience in related field (not typically required to have a four-year degree).<p><b><br>
Work Experience:</b></p>
Minimum requirements include knowledge and skills developed through &lt; 2 years of work experience in a related job discipline.<p><b><br>
Certifications:</b></p><p><b>
-</b></p><p></p><p><b>
Preferred Qualifications</b></p><p></p><p><b>
Education:</b></p><ul><li><p>
Bachelor's degree.</p></li></ul><p></p><p><b>
Experience:</b></p><ul><li><p>
2 years of work or volunteer experience in a health care related setting.</p></li></ul><p></p><p><b>
Preferred Competencies</b></p><ul><li><p>
Strong organizational skills.</p></li><li><p>
Excellent skills interacting with members of the public in a health care setting.</p></li><li><p>
Self-directed learner.</p></li></ul><p></p><p><b>
Working Conditions</b></p><ul><li><p>
Office, out-patient clinic, operating room, and sample processing lab.</p></li></ul><p></p><p><b>
Application Documents</b></p><ul><li><p>
Resume (required)</p></li><li><p>
Cover Letter (preferred)</p></li></ul><div><div><div><div><div><div><div><p><br>
When applying, the document(s) <b>MUST</b> be uploaded via the <b>My Experience</b> page, in the section titled <b>Application Documents</b> of the application.</p></div></div></div></div></div></div></div><p><b><br>
Job Family</b></p>
Research<p><b><br>
Role Impact</b></p>
Individual Contributor<p><b><br>
Scheduled</b><b> Weekly Hours</b></p>
40<p><b><br>
Drug Test Required</b></p>
Yes<p><b><br>
Health Screen Required</b></p>
Yes<p><b><br>
Motor Vehicle Record Inquiry Required</b></p>
No<p><b><br>
Pay Rate Type</b></p>
Hourly<p><br>
<br>
<b>FLSA Status</b></p>
Non-Exempt<p><br>
<br>
<b>Pay Range</b></p>
$19.23 - $24.04<p>
The included pay rate or range represents the University&rsquo;s good faith estimate of the possible compensation offer for this role at the time of posting.</p><p><b><br>
Benefits Eligible</b></p>
Yes<p>
The University of Chicago offers a wide range of benefits programs and resources for eligible employees, including health, retirement, and paid time off. Information about the benefit offerings can be found in the Benefits Guidebook.</p><p><b><br>
Posting Statement</b></p><p>
The University of Chicago is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender, gender identity, or expression, national or ethnic origin, shared ancestry, age, status as an individual with a disability, military or veteran status, genetic information, or other protected classes under the law. For additional information please see the University's Notice of Nondiscrimination.</p><p></p><p><br>
Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via Applicant Inquiry Form.</p><p></p><p><br>
All offers of employment are contingent upon a background check that includes a review of conviction history. A conviction does not automatically preclude University employment. Rather, the University considers conviction information on a case-by-case basis and assesses the nature of the offense, the circumstances surrounding it, the proximity in time of the conviction, and its relevance to the position.</p><p></p><p><br>
The University of Chicago's Annual Security &amp; Fire Safety Report (Report) provides information about University offices and programs that provide safety support, crime and fire statistics, emergency response and communications plans, and other policies and information. The Report can be accessed online at: http://securityreport.uchicago.edu. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637.</p></div>

Clinical Research Assistant

Ponos Mgmt

<div><p><b>Organizational Overview</b></p><div>
Ponos Management Inc., is a physician-led, value-based healthcare organization committed to improving outcomes for individuals living with chronic, inflammatory, and immune-related conditions. Through compassionate care delivery, innovative treatment models, and data-informed clinical practices, Ponos Care focuses on improving health equity, enhancing patient outcomes, and reducing avoidable hospitalizations.</div><div></div><div><br>
The IL-LTSS Telephonic Case Manager supports Medicaid populations through proactive telephonic outreach, comprehensive assessments, and collaboration with interdisciplinary teams. This role helps ensure members receive appropriate LTSS and RPM services that promote independence and quality of life.</div><div></div><div><b><br>
Position Overview</b></div><div>
The IL-LTSS Telephonic Case Manager manages complex member caseloads requiring Long-Term Services and Supports (LTSS) and Remote Patient Monitoring (RPM). The role completes telephonic assessments, develops individualized care plans, and coordinates services addressing medical, behavioral health, and social determinants of health needs.</div><div></div><div><br>
The Case Manager partners with interdisciplinary teams, providers, and community organizations to ensure continuity of care, support safe transitions, reduce avoidable hospitalizations, and improve member outcomes.</div><div></div><div><br>
This role supports value-based care initiatives and ensures care management activities meet applicable regulatory, quality, and documentation standards, including NCQA and HEDIS requirements.</div><div></div><div><b><br>
Core Responsibilities</b></div><div><b>
Care Management &amp; Coordination</b></div><div><ul><li>
Complete comprehensive telephonic assessments for members receiving or applying for LTSS services</li><li>
Develop individualized care plans addressing medical, behavioral health, and social support needs</li><li>
Coordinate LTSS and clinical services with providers, specialists, and community-based organizations</li><li>
Facilitate continuity of care following hospital discharge and other care transitions</li><li>
Conduct ongoing outreach to monitor progress, reassess needs, and update care plans as indicated</li></ul></div><div></div><div><b><br>
LTSS Program Support</b></div><div><ul><li>
Coordinate LTSS applications and documentation requirements in partnership with the realignment team</li><li>
Partner with interdisciplinary teams to support eligibility reviews and service planning</li><li>
Review clinical documentation and submit required information to support LTSS determinations</li><li>
Coordinate waiver services and referrals to community-based programs to meet member needs</li></ul></div><div></div><div><b><br>
Remote Patient Monitoring (RPM) Coordination</b></div><div><ul><li>
Partner with RPM vendors to enroll eligible members and maintain effective monitoring workflows</li><li>
Track RPM engagement and adherence, and address barriers to device use and data capture</li><li>
Ensure timely communication and escalation between the care team and RPM partners for alerts and clinical concerns</li><li>
Triage and escalate high-risk findings per protocol, including RPM alerts and urgent clinical or behavioral health concerns</li><li>
Support implementation and optimization of RPM programs to improve outcomes and reduce avoidable utilization</li><li>
Train the Feet on the Street Team on RPM device setup, unboxing, and basic troubleshooting</li></ul></div><div></div><div><b><br>
Documentation &amp; Quality Reporting</b></div><div><ul><li>
Document assessments, outreach, care plans, and interventions accurately in the electronic health record (EHR)</li><li>
Ensure documentation meets organizational policies and regulatory and audit standards</li><li>
Identify and help close HEDIS care gaps and other quality performance measures</li><li>
Participate in quality improvement activities to strengthen care coordination outcomes</li></ul></div><div></div><div><b><br>
Interdisciplinary Collaboration</b></div><div><ul><li>
Collaborate with physicians, nurses, social workers, and other care team members to coordinate care</li><li>
Align services and resources across medical, behavioral health, and social needs</li><li>
Communicate member priorities, barriers, and care plan updates to the interdisciplinary team</li><li>
Promote integrated care coordination across LTSS, medical management, and RPM services</li></ul></div><div></div><div><b><br>
Program Development Support</b></div><div><ul><li>
Contribute to the development and maintenance of policies, procedures, and workflows for case management programs</li><li>
Identify opportunities to streamline care coordination, improve member experience, reduce avoidable utilization, and advance value-based care goals</li><li>
Participate in continuous improvement initiatives aligned with organizational goals and quality performance</li></ul></div><div><b>
Qualifications and Education</b></div><div><ul><li>
Active multistate Registered Nurse (RN) license required</li><li>
CCM certification preferred</li><li>
Minimum 2+ years of experience in care management, case management, or population health</li><li>
Experience supporting Medicaid populations or complex care environments preferred</li><li>
Knowledge of Long-Term Services and Supports (LTSS) programs</li><li>
Experience using electronic health record (EHR) systems</li><li>
Ability to manage complex caseloads in a remote work environment</li><li>
Strong communication and care coordination skills</li></ul></div><div><b>
EEO Statement</b></div><div>
We are an Equal Opportunity Employer and are committed to fostering an inclusive and diverse workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, gender identity or expression), national origin, age, disability, genetic information, veteran status, or any other protected characteristic in accordance with applicable federal, state, and local laws.</div><div></div><div><br>
We believe inclusion strengthens our organization and enhances our ability to serve members and communities nationwide. We are committed to providing reasonable accommodation for qualified individuals with disabilities throughout the recruitment and employment process.</div></div>

IL-LTSS Telephonic Case Manager

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