Jobs in New Haven Macomb County Mi Remote
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RN Case Manager (MUST LIVE IN Macomb or Wayne MI) -{168141}
Salary not disclosed
Job Title: Nurse Case Manager II (Telephonic & Field)-{168141} Location: Michigan (Must reside in Macomb or Wayne County) Pay: $44.14 per hour Schedule: Monday – Friday | 8:00 AM – 5:00 PM EST Work Setting: Work from home 25-50%, local travel with the region 50-75%.
Mileage reimbursed.
Overview We are seeking a Nurse Case Manager II to support care coordination for members with complex and chronic health conditions.
In this role, the RN Case Manager will conduct comprehensive member assessments telephonically and face-to-face, develop individualized care plans, and collaborate with providers and care teams to promote optimal, cost-effective health outcomes.
The position focuses on managing member needs through clinical review, care coordination, and patient engagement.
Key Responsibilities Conduct comprehensive telephonic and face-to-face assessments of member health needs and eligibility using clinical tools and data review.
Develop, implement, and monitor individualized care plans in collaboration with members and interdisciplinary care teams.
Coordinate care and services based on member benefit plans and available internal/external resources.
Apply clinical guidelines, policies, and regulatory standards to ensure appropriate care and benefit utilization.
Provide coaching, education, and support to promote member engagement and healthy lifestyle choices.
Perform crisis intervention and follow-up for members experiencing medical or behavioral health concerns.
Required Qualifications Active, unrestricted Registered Nurse (RN) license in the state of Michigan required.
Minimum 3+ years of clinical practice experience (hospital, home health, or ambulatory care).
Experience in healthcare and/or managed care industry required.
Strong computer skills with the ability to navigate multiple system.
Preferred Qualifications Case management experience preferred.
Experience managing chronic conditions (e.g., diabetes, hypertension, asthma).
Experience working with Children’s Special Health Care Services (CSHCS) population preferred.
Experience with motivational interviewing and patient engagement strategies.
Keywords: RN case manager, telephonic case manager, nurse case manager, managed care, care coordination, chronic disease management, utilization management, population health, remote RN, healthcare coordination, patient advocacy, case management, Michigan RN
Mileage reimbursed.
Overview We are seeking a Nurse Case Manager II to support care coordination for members with complex and chronic health conditions.
In this role, the RN Case Manager will conduct comprehensive member assessments telephonically and face-to-face, develop individualized care plans, and collaborate with providers and care teams to promote optimal, cost-effective health outcomes.
The position focuses on managing member needs through clinical review, care coordination, and patient engagement.
Key Responsibilities Conduct comprehensive telephonic and face-to-face assessments of member health needs and eligibility using clinical tools and data review.
Develop, implement, and monitor individualized care plans in collaboration with members and interdisciplinary care teams.
Coordinate care and services based on member benefit plans and available internal/external resources.
Apply clinical guidelines, policies, and regulatory standards to ensure appropriate care and benefit utilization.
Provide coaching, education, and support to promote member engagement and healthy lifestyle choices.
Perform crisis intervention and follow-up for members experiencing medical or behavioral health concerns.
Required Qualifications Active, unrestricted Registered Nurse (RN) license in the state of Michigan required.
Minimum 3+ years of clinical practice experience (hospital, home health, or ambulatory care).
Experience in healthcare and/or managed care industry required.
Strong computer skills with the ability to navigate multiple system.
Preferred Qualifications Case management experience preferred.
Experience managing chronic conditions (e.g., diabetes, hypertension, asthma).
Experience working with Children’s Special Health Care Services (CSHCS) population preferred.
Experience with motivational interviewing and patient engagement strategies.
Keywords: RN case manager, telephonic case manager, nurse case manager, managed care, care coordination, chronic disease management, utilization management, population health, remote RN, healthcare coordination, patient advocacy, case management, Michigan RN
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