Job Description

Title: RN Case Manager

Location: Statewide in MI (Remote however must be local to Michigan)

Duration: W2 contract 12+ Months with opportunity to convert

Schedule: Monday - Friday 8-5

Note: Must have direct clinical hospital experience

EDUCATION AND EXPERIENCE

• Nursing Diploma or associate's degree in nursing required. Bachelor’s degree in nursing strongly preferred.
• 3 years of clinical nursing experience in a clinical, acute/post-acute care, and community setting required.
• 1 year of case management experience in a managed care setting strongly preferred.
• Experience managing patients telephonically and via digital channels (mobile applications and messaging) preferred.

CERTIFICATES, LICENSES, REGISTRATIONS

• Current, active, and unrestricted Michigan Registered Nurse license required
• Certification in Case Management (CCM) required or to be obtained within 18 months of hire.
• Certification in Chronic Care Professional (CCP) preferred

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Lead the coordination of a regionally aligned, multidisciplinary team to provide holistic care to meet member needs telephonic and/or digitally.
• Use the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the members’ health across the care continuum.
• Assess the member's health, psychosocial needs, cultural preferences, and support systems.
• Engage the member and/or caregiver to develop an individualized plan of care, address barriers, identify gaps in care, and promotes improved overall health outcomes.
• Arrange resources necessary to meet identified needs (e.g., community resources, mental health services, substance abuse services, financial support services and disease-specific services).

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