Job Title: Nurse Case Manager II
Job Duration: 6 Months (Possibilities of extension)
Shift: Mon to Fri, 8 am to 5 pm
Job Location: Detroit, MI 48127
Candidates do not have to reside in Michigan; but they do need to have a valid and unrestricted RN license for the state of Michigan
Position Summary:
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Duties:
50-75% of the day is dedicated to telephonic engagement with members and the coordination of their care.
Experience:
Must have active and unrestricted Registered Nurse (RN) Licensure MI single state
Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams, with the ability to effectively utilize these tools within the context of the CM RN role.
Confidence working at home / independent thinker, using tools to collaborate and connect with teams virtually.
Minimum 3+ years of nursing experience
Minimum 2+ years of case management, discharge planning and/or home healthcare coordination experience
Experience providing care management for Medicare and/or Medicaid members.
Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health.
Experience conducting health-related assessments and facilitating the care planning process.
Bilingual skills, especially English-Spanish, preferred not required
Education:
RN with current unrestricted state licensure.
Associate s of Science in Nursing (ASN) degree and relevant experience in a health care-related field (REQUIRED)
Case Management Certification CCM preferred
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