Large managed care company is looking for RN - Case Managers to be responsible for the overall care management process for high acuity engaged patients. You will be working with patients/caregivers to maintain and improve health status by providing care coordination, health education, guidance and support for medical and psychosocial complex chronic conditions.
WORK LOCATION: 26677 W Twelver Mile Road, Southfield, MI 48034
PAY: $40.00
CONTRACT DATES: 4/11/25 - 7/11/25
HOURS: M-F, 8-5
RESPONSIBILITIES
- Acts as an advocate for the patient
- Engages and collaborates with patient/caregiver and providers to develop an individualized Care Plan that addresses disease management, health promotion, and patient-centered goals
- Completes initial and ongoing patient assessment, using information gathered from patient/caregiver/family, providers, HbMC EMR, and available medical records
- Manages incoming clinical calls to ensure patients’ medical concerns are addressed by the care team in a timely manner
- Acts as liaison between providers, nursing facilities, hospitals and program staff, including making recommendations about care alternatives
- Promotes patient safety. Reviews or initiates a home safety, functional assessment, and/or falls risk assessment with home-based providers to determine need for adaptive equipment.
QUALIFICATIONS
- Associates Degree, BSN preferred
- Active RN License in the Michigan
- 3+ years of clinical practice in a hospital, home care, hospice, clinic, or nursing home setting required
- Proficient in patient-centered Care Plan creation and active management
- Case Management experience and CCM Certification, preferred
- 1+ years of Utilization Management experience desired
- Disease state management experience with strong ability to educate patients on health and wellness highly desired
- Population Health management experience desired
- Electronic Medical Record documentation experience required
- Computer skills: internet navigation, Microsoft Office – Outlook, Word and Excel required