Case Manager-RN

Iconma

Detroit, MI
1 day ago

$29.96–$33.94 Per Hour

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Skills

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

Description

Our Client, a Health Insurance company, is looking for a Case Manager-RN for their Remote location.

Responsibilities:

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. 9. 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)

Requirements:

Education and experience
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
Certificates, licenses, registrations
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
Other skills and abilities
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?

Health Benefits
Referral Program
Excellent growth and advancement opportunities

Numbers & Facts

Location	Detroit, MI
Industry	Management Consulting Services
Salary	$29.96–$33.94 Per Hour
Company Size	2,000 to 2,499 employees
Year Founded	2000
Website	https://www.iconma.com/

Benefits

401K, Employee Referral Program, Life Insurance

About Company

ICONMA is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.

Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
Certified Woman-Owned Business Enterprise (WBE); certified by Women’s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
Founded in 2000
2000+ Employees

The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.

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