Job description
We have a great employment opportunity for a RN Medical Case Manager!
TRAVEL IS REQUIRED!
Location: Potterville, MI
Remote with some travel required to attend patient medical appointments;
Distance: Up to 2 hour drive. Gas expense is reimbursed.
***MUST LIVE IN AND HAVE STATE OF MICHIGAN RN LICENSE***
Salary range: Up to $84k. Excellent employee benefits. Eligible for monthly performance bonuses!
Highly preferred: Registered Nurses (State of Michigan) that have their CCM certifications!!
RESPONSIBILITIES:
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 and social needs.
They serve as the single point of contact for members, caregivers, and providers using a variety of communication channels including phone calls, emails, text messages and Our Client’s online messaging platform.
The Case Manager RN 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.
They work in partnership with the member, providers of care and community resources to develop and implement the plan of care and achieve stated goals.
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)
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: Current, active, and unrestricted Michigan Registered Nurse license required
Certification in Case Management (CCM) required or to be obtained within 18 months of hire
Certification in Chronic Care Professional (CCP) preferred
About OpTech
OpTech is a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work at OpTech, not only do you get health and dental benefits on the first day of employment, but you also have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! To view our complete list of openings, please visit our website at www.optechus.com.
OpTech is an equal opportunity employer and is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, status as a parent, disability, age, veteran status, or other characteristics as defined by federal, state or local laws.
