W2 Contract
REMOTE
$37/hr+ with 2 weeks PTO and contribution towards healthcare
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 needs. 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.
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. 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).
EDUCATION AND EXPERIENCE
Nursing Diploma or Associates degree in nursing required.
3 years of clinical nursing experience in a clinical, acute/post-acute care, ICU or Med/Surge 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 Multistate Compact Registered Nurse license required in one of the following states: Colorado, Georgia, Indiana, Kentucky, Mississippi, Ohio, Pennsylvania, Virginia, Washington, Louisiana, Iowa
#LI-EH2
#INDPRO
Numbers & Facts
Location
Detroit, MI
Skills
Acute Careunmatched
Behavioral Healthunmatched
Case Managementunmatched
Certified Case Manager (CCM)unmatched
Clinical Nursingunmatched
Clinical Supportunmatched
Cross-Functionalunmatched
Customer Support/Serviceunmatched
Dietary Managementunmatched
Diseaseunmatched
Durable Medical Equipmentunmatched
Equipment Maintenance/Repairunmatched
Financial Servicesunmatched
Financial Supportunmatched
Health Educationunmatched
Health Planunmatched
Healthcareunmatched
Home Careunmatched
Intensive Careunmatched
Literacyunmatched
Managed Careunmatched
Medical Office Administrationunmatched
Medicationsunmatched
Mobile Applicationsunmatched
Needs Assessmentunmatched
Nursingunmatched
Pharmacyunmatched
Psychiatry and Mental Healthunmatched
Registered Nurse (RN)unmatched
Social Workunmatched
Substance Abuse Treatmentunmatched
Support Documentationunmatched
Training/Teachingunmatched
Treatment Planunmatched
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