Nurse Case Manager

2 weeks ago

Detroit, Michigan, United States ChenMed Full time

We're unique. You should be, too.

We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.


• The Acute Care Nurse is responsible for achieving positive patient outcomes, managing quality of care across the continuum of care with efficient allocation of healthcare resources. This role will first and foremost serve as an advocate for our patients and families as they navigate through external providers and healthcare systems. The Acute Care Nurse is an important member of the Hospital & Community Care Teams and will use all available resources and leverage other members of the healthcare care team to develop effective plans of care and with focus on delivering high levels of longitudinal care coordination. The Acute Care Nurse role also involves establishing relationships with patients' families and care givers, primary care physicians, hospitalist, specialists, social workers, other case managers and nurses, acute and post-acute facilities, home health care companies, and health plans.
  • This position will focus on health promotion for a senior population providing onsite hospital visits communicating and coordinating care with hospitalist/hospital staff and patient providing appropriate level of care recommendation (inpatient vs observation), using our internal charting system to report daily inpatient updates and working with hospital team on a expeditious discharge planning to next level of care. The acute care nurse will anticipate the need for post-acute and/or long-Term care, from day one (1) of hospital stay, providing support to all parties involved. Daily updates in our charting system are required for each patient using the hospitals EMR system and onsite reviews.
  • Acute Care Nurse will be following the patient throughout the continuum of care when patient discharges to a Skilled Nursing Facility (SNF) or Long-Term Care (LTC) to provide weekly updates on discharge and ensure that upon discharge patients is connect back to the care of the primary care provider. Acute Care Nurse will provide warm hand off to the Community Care Nurse when patient is discharged to home and/or from post-acute care facilities.
  • The Acute Care Nurse adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
  • Identifies appropriateness of inpatient vs. observation status
  • Identifies areas of opportunities regarding proper allocation of healthcare resources in an acute and post-acute setting.
  • Identifies and manage safety risk (complete a social assessment), identify functional status (ADLs and PT needs), discuss medications and self-management, identify and correct knowledge deficits.
  • Hospital bedside discussion explaining our Care Management/Disease Management program with verbal introduction to their Community Care Manager for home visit once discharge to home from either inpatient or skilled nursing facility (SNF).
  • Implements the ACM Coaching program with the appropriate patient population.
  • Identifies from day one (1) of hospital stay any barriers for a safe discharge back to the community
  • Seeks assistance from ChenMed's Specialists when needed to support the care of our patients in healthcare facilities.
  • In markets as appropriate, when patient in SNF, in conjunction with the post-acute physician, coordinates the transition to a lower level of care as soon as appropriate using a preferred provider if further services are needed.
  • Facilitates discharge to appropriate level of care and preferred providers
  • Communicates discharge to all stakeholders including patient, patient's family or designee, PCP, Center Manager and Community Care Nurse.
  • Documents the appropriate date that the patient is medically discharged and update as appropriate.
  • Social Determinates of Health (SDoH) screening with each patient on every admission and communicate to our Community Social Workers or PCPs when a need is identified.
  • Identifies new diagnosis during acute stay and provide PCP documentation to review and add to patient problem list.
  • Contacts the center manager or designee to arrange for a 4-day follow-up PCP appointment prior to discharge and whenever possible, communicate this information to the patient/caregiver.
  • As appropriate, offers and discusses with patients' the benefit of our CCM or DM programs and identify patient interest in participation.
  • Coordinates acute UR physician meetings

KNOWLEDGE, SKILLS AND ABILITIES:

  • Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
  • Critical thinking skills required.
  • Ability to work autonomously is required.
  • Ability to monitor, assess and record patients' progress and adjust and plan accordingly.
  • Understanding utilization review and how to leverage with inpatient staff for possible reduction of medical cost on long length of stay patients.
  • Ability to plan, implement and evaluate individual patient care plans.
  • Knowledge of nursing and case management theory and practice.
  • Knowledge of patient care charts and patient histories.
  • Knowledge of clinical and social services documentation procedures and standards.
  • Knowledge of community health services and social services support agencies and networks.
  • Organizing and coordinating skills.
  • Ability to communicate technical information to non-technical personnel.
  • Proficient in Microsoft Office Suite products including Excel, Word, PowerPoint, and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software.
  • Ability and willingness to travel locally, regionally, and nationwide up to 10% of the time.
  • Spoken and written fluency in English, bilingual preferred.
  • Associate degree in Nursing required.
  • EDUCATION AND EXPERIENCE CRITERIA:
  • Bachelor's Degree in nursing (BSN) or RN with bachelor's degree in a related clinical field preferred.
  • A valid, active Registered Nurse (RN) license in State of employment required.
  • A minimum of 2 years' clinical work experience required.
  • A minimum of 1 year of utilization review and/or case management, home health, hospital discharge planning experience required.
  • A minimum of 1 year of case management experience in acute case management or community case management experience highly desired.
  • This position requires possession and maintenance of a valid driver's license.
  • Certified Case Manager certification is preferred. Certification through the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired.

We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day.

Current Employee apply HERE

Current Contingent Worker please see job aid HERE to apply

  • Medical Case Manager

    3 weeks ago

    Detroit, Michigan, United States Wellspring Case Management Full time

    Join Our Team at Wellspring Case Management!Wellspring Case Management is a company dedicated to providing compassionate care and advocacy for individuals affected by motor vehicle accidents. As a trusted partner in the journey of recovery, we offer not only medical case management but also a genuine wellspring of support, hope, and healing.Medical Case...

  • Case Manager RN

    1 month ago

    Detroit, Michigan, United States Molina Healthcare Full time

    JOB DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse who must live and have a current active unrestricted RN license in the state of MI.This position will support our MMP (Medicaid Medicare Population) that is part of the WAIVER team. This position will have a case load and manage members enrolled in this program. We are looking for...

  • Nurse Case Manager ll

    1 month ago

    Detroit, Michigan, United States Elevance Health Full time

    Nurse Case Manager ll (9am – 6pm Central Time) JR115052Location : Telephonic role. Must reside within 50 miles / 1 hour commute of a relevant Elevance Health office (PulsePoint.)Required work hours : 10am – 7pm Eastern Time, Monday – FridayThe Nurse Case Manager ll is responsible for care management within the scope of licensure for members with...

  • Case Manager

    3 weeks ago

    Detroit, Michigan, United States Delta-T Group Inc. Full time

    Job DescriptionJob DescriptionLocation: Detroit, MI 48202Date Posted: 6/7/2024Category: SchoolEducation: HS Graduate/GEDOur client is seeking a Employee Relations Case Manager to work in the Detroit area. CLIENT'S SUMMARY OF THIS OPPORTUNITY*Conduct document and file reviews*Obtain, organize, and maintain documentation, evidence, and information regarding...

  • Case Manager

    2 weeks ago

    Detroit, Michigan, United States Spectrum Health Full time

    About the role The Case Management team at Valor Place assists in the placement and replacement of youth, advocates for appropriate educational services for each child, and maintains accurate records - meeting specific timelines as required by funding and regulatory agencies and service standards. In this role, you will work closely with the young people at...

  • Case Manager

    3 weeks ago

    Detroit, Michigan, United States The Salvation Army Central Territory Full time

    Job DescriptionPurpose:Provide case management services for the clients of The Salvation Army Harbor Light Summary:Facilitate didactic groups and case management services Primary Duties and Responsibilities:Conducts didactics/educational lectures Maintain case records in accordance with Harbor Light standards Serve as Case Manager to treatment clients...

  • Group Director Case Management Days FT

    2 weeks ago

    Detroit, Michigan, United States Detroit Medical Center Shared Services Full time

    The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help people live happier, healthier lives. The hospitals of the Detroit Medical Center are the Childrens Hospital of Michigan, Detroit Receiving Hospital, Harper...

  • Case Manager

    3 weeks ago

    Detroit, Michigan, United States Cherry Health Full time

    Responsible for case management and coordination of resident clinical activities, incident report hearings, work with Clinical Manager on clinical issues. This is a full-time, benefit-eligible position with a schedule that primarily consists of daytime hours. Correctional health services are provided to individuals involved in the criminal justice system...

  • Case Managers

    3 weeks ago

    Detroit, Michigan, United States Delta-T Group Inc. Full time

    Job DescriptionJob DescriptionLocation: Detroit, MI 48219Date Posted: 5/27/2024Category: Community BasedEducation: Bachelor or Master's DegreeWith over 35 years in business, the Delta-T Group has built a reputation for referring highly qualified professionals for rewarding short and long-term independent contract opportunities.Our Client is seeking motivated...

  • Case Managers

    3 weeks ago

    Detroit, Michigan, United States Delta-T Group Full time

    Location: Detroit, MI 48219 Date Posted: 5/24/2024 Category: Community Based Education: Bachelor or Master's Degree With over 35 years in business, the Delta-T Group has built a reputation for referring highly qualified professionals for rewarding short and long-term independent contract opportunities.Our Client is seeking motivated and reliable Case...

  • Supervisor Case Management

    1 month ago

    Detroit, Michigan, United States Henry Ford Health System Full time

    GENERAL SUMMARY:Under the direction of the Manager of Case Management, supervises functions of case management including basic discharge planning activities to achieve desired outcomes. Participates in the establishment of policies, procedures and work processes. Maintains performance improvement activities within the department and participates in the...

  • Clinical Social Worker Case Management FT Days

    1 week ago

    Detroit, Michigan, United States Tenet Healthcare Full time

    Clinical Social Worker Case Management FT Days Description : DMC Detroit Receiving Hospital, Michigan's first Level I Trauma Center, helped pioneer the evolution of emergency medicine and currently has one of the busiest and most well-equipped emergency departments anywhere. The first and largest verified burn center in the state is at Receiving,...

  • Clinica Social Worker Case Management FT Days

    3 days ago

    Detroit, Michigan, United States Tenet Healthcare Full time

    Clinica Social Worker Case Management FT Days Description : DMC Detroit Receiving Hospital, Michigan's first Level I Trauma Center, helped pioneer the evolution of emergency medicine and currently has one of the busiest and most well-equipped emergency departments anywhere. The first and largest verified burn center in the state is at Receiving,...

  • care manager rn

    1 month ago

    Detroit, Michigan, United States Blue Cross Blue Shield of Michigan Full time

    This opportunity is only for individuals that reside in the following areas: * Colorado, Georgia, Indiana, Kentucky, Massachusetts, Minnesota, Mississippi, Ohio, Pennsylvania, Tennessee, Virginia, Washington, Louisiana, and Iowa. The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management...

  • care manager rn

    2 days ago

    Detroit, Michigan, United States Blue Cross Blue Shield of Michigan Full time

    This opportunity is only for individuals that reside in the following areas: * Colorado, Georgia, Indiana, Kentucky, Massachusetts, Minnesota, Mississippi, Ohio, Pennsylvania, Tennessee, Virginia, Washington, Louisiana, and Iowa. MUST HAVE A COMPACT LICENSE The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person...

  • Registered Nurse-Review Analys

    2 weeks ago

    Detroit, Michigan, United States LanceSoft Inc Full time

    Job Description:Candidate is required to be located in Detroit for Training - After that, it is a fully remote position.Utilize established medical policies and guidelines to conduct prospective, concurrent, and retrospective medical necessity reviews of post-acute care services.Ensure medical necessity for appropriate setting and length of stay, handling...

  • Manager - Utilization Management Medicare Post-Acute Care

    2 weeks ago

    Detroit, Michigan, United States Blue Cross Blue Shield of Michigan Full time

    Responsible for planning, organizing and managing an assigned business unit. Operate within broad objectives to ensure optimum utilization of resources; adapt business unit plans and priorities to address resource and operational challenges. Evaluate policies, procedures and business unit goals to make decisions and solve problems. * Manage activities of a...

  • Registered Nurse

    1 week ago

    Detroit, Michigan, United States Veterans Affairs, Veterans Health Administration Full time

    Summary The Registered Nurse delivers knowledge-based care to clients while developing skills. Assesses, plans, implements, and evaluates care based on age-specific components. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. Administers medications...

  • Registered Nurse HBPC

    1 week ago

    Detroit, Michigan, United States Veterans Health Administration Full time

    (Includes but not limited to): The Home Based Primary Care-(HBPC) Nurse delivers fundamental knowledge-based care to assigned clients while developing technical skills. Assesses, plans, implements, and evaluates care based on age-specific components. Assumes responsibility for the coordination of care focused on patient education, self-management, and...

  • Registered Nurse

    1 month ago

    Detroit, Michigan, United States Henry Ford Health System Full time

    Registered Nurse- Acute Care Registered Nurse (ACRN) – Henry Ford Health System - 20 Hours Part-Time Benefit Eligible GENERAL SUMMARY: Henry Ford at Home Acute Care Registered Nurse (ACRN) – Henry Ford Health System Henry Ford Health System is offering a unique opportunity for individuals interested in being part of an organization that is leading the...