Hybrid Case Manager Registered Nurse – Field

Posted 3 weeks ago

Apply now

About the role

  • Field Case Manager Registered Nurse coordinating care for dually eligible Medicare and Medicaid members in Southeast Michigan. Developing proactive care plans and collaborating with healthcare providers for member wellness.

Responsibilities

  • Develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness
  • Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits
  • Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning
  • Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality
  • Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members
  • Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences
  • Utilizes case management processes in compliance with regulatory and company policies and procedures
  • Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation

Requirements

  • Minimum 3+ years clinical practical experience as a Registered Nurse (RN)
  • Must have active and unrestricted Michigan RN licensure
  • Must be willing and able to travel up to 25%-50% of the time in Wayne and Macomb Counties
  • Reliable transportation required
  • Mileage is reimbursed per our company expense reimbursement policy
  • Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint
  • Effective computer skills including navigating multiple systems and keyboarding
  • Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
  • Excellent analytical and problem-solving skills
  • Effective communications, organizational, and interpersonal skills
  • Ability to work independently

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation, and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Job title

Case Manager Registered Nurse – Field

Job type

Experience level

Mid levelSenior

Salary

$60,522 - $129,615 per year

Degree requirement

Associate's Degree

Location requirements

Report this job

See something inaccurate? Let us know and we'll update the listing.

Report job