Blue Cross Blue Shield of Michigan
Case Manager RN
Company Description
w3r Consulting is an award-winning, best-in-class IT consulting and management company that delivers enterprise solutions at the intersection of innovation and ingenuity. Organizations throughout the healthcare payor, financial services, and professionals and business services sectors turn to w3r for a strategic, IT-fueled advantage that elevates their stature and capabilities in competitive global markets. As a minority-owned business, w3r brings diverse and multifaceted people from across different backgrounds and life experiences to the table, unlocking the power of unique perspectives and inventive ideas to help clients achieve their evolving goals.
Job Description
As a Case Manager RN, you will lead the coordination of a multidisciplinary team to deliver holistic, person-centered care for a diverse member population. You will serve as the primary point of contact for members, caregivers, and providers, using phone, email, and digital platforms to manage and support care plans.
Requirements
Required Qualifications: Nursing Diploma or Associate Degree in Nursing (BSN preferred) Minimum 3 years of clinical nursing experience (acute/post-acute/community setting) Active, unrestricted Multistate Compact RN license Strong communication, organizational, and critical thinking skills Proficiency with Microsoft Office tools Preferred: Case management experience in a managed care setting Experience with telephonic or digital patient management CCM or CCP certification
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Responsibilities
Coordinate care across a multidisciplinary team including social workers, dietitians, pharmacists, and medical directors Assess members’ clinical, psychosocial, and support needs Develop, implement, and monitor individualized care plans Identify care gaps, address barriers, and improve health outcomes Connect members with community and healthcare resources Provide education on self-management, medications, and overall health Support care transitions and ensure continuity of care Document all interactions accurately and maintain compliance with guidelines
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