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Case Manager
2 months ago
Job Title Integrated Case Manager
Location Detroit MI 48202
Duration 13+ weeks of contract role (wishing to convert at the end of their assignment)
Shift time 8:30AM - 5PM rotating scheduled, weekend availability required.
Schedule Notes:
- Full Time Day Shift Position Utilization Management Or Telephonic Case Management Experience.
- REQUIRED: CLINICAL BACKGROUND, 3-5 YEARS CASE MANAGEMENT EXPERIENCE Therapy background will not be considered.
- Strong Computer Skills Preferred: Experience In Discharge Planning, Home Health Care, Rehabilitative Medicine, Community Health, Or Managed Care Typical
- Case Ratio 1:20 ; Will Not Meet with each patient, decided based on individual risk factors Candidates wishing to convert at the end of their assignment will need to have a bachelor’s degree.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
- Conducts a comprehensive assessment of patient and family/caregiver's biomedical, psychological, social and functional needs to gage the potential impact on recovery.
- Develops personalized patient-centered care plans aimed at optimizing the patient's care experience.
- Engages patients and their families as part of the care team through advocacy, ongoing communication, health education, identification of resources and service facilitation.
- Utilizes professional judgment, critical thinking, motivational interviewing and self-management techniques to assist patients in overcoming barriers to goal achievement.
- Provides counseling and interventions related to treatment decisions and end of life issues including Advanced Care Planning.
- Provides coordination as necessary to ensure patients seamless and safely transition between care settings.
- Advocates for appropriate delivery of services within the patient's health plan benefit structure.
Skills:
- Excellent verbal communication and written documentation skills.
- Excellent customer service and interpersonal skills including the ability to interact with internal and external customers and all levels of the organization.
- Strong problem-solving, analytical and decision-making skills.
- Strong computer skills and knowledge.
- Experience in discharge planning, home health care, rehabilitative medicine, community health or managed care preferred.
- Knowledge of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles.
- Knowledge of medical ethics and legal implications related to case management.
Education:
- Registered Nurse (RN) or a Licensed Social Worker (LMSW) with a valid, unrestricted State of Michigan license.
- Certification in Case Management (CCM) by the Commission for Case Management Certification (CCMC) preferred.
- For current employees, effective date 10/31/2019, certification is required by December 2023.
- For new hires, certification must be obtained within 3-years from date of hire.
Certifications & Licenses:
- MSW License or RN, MI State license
