Illinois Licensed Clinical Care Manager

Job Summary

A company is looking for a Remote Clinical Care Manager.

Key Responsibilities

• Perform utilization review services in compliance with regulations and standards
• Communicate clinical determinations and collaborate with medical professionals on case reviews
• Manage patient referrals and maintain confidentiality of member information

Required Qualifications

• Registered Nurse with an active and unrestricted License in Illinois
• Five years of experience in various healthcare settings
• Knowledge of utilization review, managed care, and community health
• Proficiency in computer skills including MS Word and Excel
• Ability to prioritize tasks in a rapidly changing environment