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Nursing Jobs in Ann Arbor, MI

Case Manager-RN

ICONMA, LLC
  • Ann Arbor, MI
  • $29.84–$33.82 Per Hour
  • Instant Apply
1 day ago

Job Description

Our client, a Health Insurance company, is looking for a Case Manager-RN for their Ann Arbor, MI location.
 
Responsibilities:
  • The Case Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social needs.
  • They serve as the single point of contact for members, caregivers, and providers using a variety of communication channels including phone calls, emails, text messages and the client online messaging platform.
  • The Case Manager RN uses the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the member’s health across the care continuum.
  • They work in partnership with the member, providers of care and community resources to develop and implement the plan of care and achieve stated goals.
  • Other duties may be assigned:
  • Lead the coordination of a regionally aligned, multidisciplinary team to provide holistic care to meet member needs telephonic and/or digitally.
  • The multidisciplinary team is inclusive of Medical and Behavioral Health Social Workers, Registered Dietitians, Pharmacists, Clinical Support Staff and Medical Directors.
  • 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).
  • Coordinate care delivery and support among member support systems, including providers, community-based agencies, and family.
  • Advocate for members and promote self-advocacy.
  • Deliver education to include health literacy, self-management skills, medication plans, and nutrition.
  • Monitor and evaluate effectiveness of the care management plan, assess adherence to care plan to ensure progress to goals and adjust and reevaluate as necessary.
  • Accurately document interactions that support management of the member.
  • Prepare the member and/or caregiver for discharge from a facility to home or for transfer to another healthcare facility to support continuity of care.
  • Educate the member and/or caregiver about post-transition care and needed follow-up, summarizing what happened during an episode of care.
  • Secure durable medical equipment and transportation services and communicate this to the member and/or caregiver and to key individuals at the receiving facility or home care agency.
  • Adhere to professional standards as outlined by protocols, rules and guidelines meeting quality and production goals.
  • Continue professional development by completing relevant continuing education and maintaining Certified Case Manager (CCM).
  • Shared expectations for both roles:
  • Build an effective, professional working relationship with the Trinity UMM team, hospital care managers, discharge planners, providers, and other identified partners.
  • Identify eligible Medicare Advantage members who may benefit from added transition support, using agreed-upon pilot workflows and referral criteria.
  • Engage members and caregivers before discharge, explain the onsite support available, and reinforce the next steps in the transition plan.
  • Identify and communicate barriers that could affect a safe discharge or recovery at home, including concerns involving medications, follow-up care, transportation, equipment and supplies, education, social support, nutrition, benefits, or caregiver needs.
  • Coordinate available health-plan resources without duplicating or replacing the hospital’s clinical assessment, discharge planning, ordering responsibilities, or medical decision-making.
  • Document member needs, completed interventions, unresolved concerns, ownership, and follow-up actions accurately and within required systems and timelines.
  • Communicate a clear handoff to the Medicare Advantage Care Management team so the Transitions of Care program can be initiated and outreach can begin with the member.
  • Escalate unresolved clinical, operational, safety, or discharge barriers through established Trinity and Medicare Advantage Care Management workflows.
  • Participate in pilot huddles, case reviews, workflow refinement, and outcome monitoring, and share observations that can improve the member and partner experience.
  • Maintain confidentiality, comply with HIPAA and organizational policies, and conduct all interactions within the employee’s professional scope and assigned role.
  • Primary role focus: Clinical assessment, discharge-readiness support, barrier resolution, and clinical handoff to the Medicare Advantage Care Management team.
  • Essential Onsite Responsibilities:
  • Complete a focused, member-centered assessment to identify clinical, functional, social, and benefit-related barriers that may affect the member’s transition home.
  • Assess the member’s understanding of the diagnosis, discharge instructions, warning signs, medication plan, follow-up plan, and whom to contact with concerns.
  • Collaborate with the Trinity Care Management  team and hospital care team to communicate identified risks and coordinate appropriate actions before discharge.
  • Confirm that unresolved barriers and required follow-up actions have a clearly identified owner and next step.
  • Facilitate the clinical handoff to the Medicare Advantage Care Management team, including the information necessary to initiate Transitions of Care outreach and continue the plan after discharge.
  • Use clinical judgment to escalate concerns involving member safety, discharge readiness, medication access, clinical deterioration, or gaps in post-discharge support.
  • Provide education and teach-back within scope, reinforce the discharge plan, and connect the member with appropriate health-plan clinical programs and resources.
  • Maintain concise, timely documentation of assessment findings, interventions, partner communication, disposition, and follow-up needs.
  • Work closely with client Care Transitions Specialist to assure coordination of care and successful discharge plan.
  • Care Manager Success Measures:
  • Consistent onsite coverage and responsive collaboration with Trinity and Medicare Advantage Care Management partners.
  • Clear identification and communication of member barriers before discharge.
  • Complete, actionable clinical handoffs that support timely Transitions of Care initiation.
  • Accurate documentation and appropriate escalation of unresolved concerns.
  • Member and caregiver understanding of the immediate post-discharge plan and available support.
 
Requirements:
  • Nursing Diploma or Associates 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.
  • 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 qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
  • The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Ability to think critically, be decisive, and problem solve a variety of topics that can impact a member’s outcomes.
  • Empathetic, supportive and a good listener.
  • Proficient in motivational interviewing skills.
  • Demonstrated time management skills.
  • Organizational skills with the ability to manage multiple systems/tools, while simultaneously interacting with a member.
  • Must have intermediate computer knowledge, typing capability and proficiency in Microsoft programs (Excel, OneNote, Outlook, Teams, Word, etc.).
  • Must embrace teamwork but can also work independently.
  • Excellent interpersonal and communication skills both written and verbal.
 
Why Should You Apply?Excellent growth and advancement opportunitiesWhy Should You Apply?

Numbers & Facts

LocationAnn Arbor, MI
Salary$29.84–$33.82 Per Hour

Skills

  • Acute Careunmatched
  • Behavioral Healthunmatched
  • Case Managementunmatched
  • Certified Case Manager (CCM)unmatched
  • Clinical Assessmentunmatched
  • Clinical Nursingunmatched
  • Clinical Supportunmatched
  • Communication Skillsunmatched
  • Cross-Functionalunmatched
  • Customer Support/Serviceunmatched
  • Dietary Managementunmatched
  • Discharge Plansunmatched
  • Diseaseunmatched
  • Documentationunmatched
  • Durable Medical Equipmentunmatched
  • Equipment Maintenance/Repairunmatched
  • Financial Servicesunmatched
  • Financial Supportunmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • Health Educationunmatched
  • Health Insuranceunmatched
  • Health Planunmatched
  • Healthcareunmatched
  • Home Careunmatched
  • Hospitalunmatched
  • Hospital Administrationunmatched
  • Interpersonal Skillsunmatched
  • Literacyunmatched
  • Managed Careunmatched
  • Medical Office Administrationunmatched
  • Medicareunmatched
  • Medicationsunmatched
  • Microsoft Excelunmatched
  • Microsoft Outlookunmatched
  • Microsoft Product Familyunmatched
  • Microsoft Wordunmatched
  • Mobile Applicationsunmatched
  • Needs Assessmentunmatched
  • Nursingunmatched
  • Nutritionunmatched
  • On Site Supportunmatched
  • Organizational Skillsunmatched
  • Pharmacyunmatched
  • Presentation/Verbal Skillsunmatched
  • Problem Solving Skillsunmatched
  • Psychiatry and Mental Healthunmatched
  • Registered Nurse (RN)unmatched
  • Risk Analysisunmatched
  • Short Messaging Service (SMS)unmatched
  • Social Workunmatched
  • Substance Abuse Treatmentunmatched
  • Support Documentationunmatched
  • Systems Administration/Managementunmatched
  • Team Playerunmatched
  • Time Managementunmatched
  • Training/Teachingunmatched
  • Treatment Planunmatched
  • Typingunmatched
  • Writing Skillsunmatched

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