case manager
3 weeks ago
Will this position be required to work onsite for any reason at any time? No, the resource will be able to perform this role offsite and not required to work onsite.
This position supports SHS/EM/MA Fulfillment required with compact nursing license.
The Care 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 the client's online messaging platform. The Care 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.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned:
1. 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.
2. Use the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the members' health across the care continuum.
3. Assess the member's health, psychosocial needs, cultural preferences, and support systems.
4. 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.
5. Arrange resources necessary to meet identified needs (e.g., community resources, mental health services, substance abuse services, financial support services and disease-specific services).
6. Coordinate care delivery and support among member support systems, including providers, community-based agencies, and family.
7. Advocate for members and promote self-advocacy.
8. Deliver education to include health literacy, self-management skills, medication plans, and nutrition.
9. 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.
10. Accurately document interactions that support management of the member.
11. 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.
12. Educate the member and/or caregiver about post-transition care and needed follow-up, summarizing what happened during an episode of care.
13. 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.
14. Adhere to professional standards as outlined by protocols, rules and guidelines meeting quality and production goals.
15. Continue professional development by completing relevant continuing education and maintaining Certified Case Manager (CCM).
EDUCATION AND EXPERIENCE
1. Nursing Diploma or Associates degree in nursing required.
2. Bachelor's degree in nursing strongly preferred.
3. 3 years of clinical nursing experience in a clinical, acute/post-acute care, and community setting required.
4. 1 year of case management experience in a managed care setting strongly preferred.
5. Experience managing patients telephonically and via digital channels (mobile applications and messaging) preferred.
CERTIFICATES, LICENSES, REGISTRATIONS
1. Current, active, and unrestricted Michigan Registered Nurse license required
2. Certification in Case Management (CCM) required or to be obtained within 18 months of hire
3. Certification in Chronic Care Professional (CCP) preferred QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
OTHER SKILLS AND ABILITIES
1. Ability to think critically, be decisive, and problem solve a variety of topics that can impact a member's outcomes.
2. Empathetic, supportive and a good listener.
3. Proficient in motivational interviewing skills.
4. Demonstrated time management skills.
5. Organizational skills with the ability to manage multiple systems/tools, while simultaneously interacting with a member.
6. Must have intermediate computer knowledge, typing capability and proficiency in Microsoft programs (Excel, OneNote, Outlook, Teams, Word, etc.).
7. Must embrace teamwork but can also work independently.
8. Excellent interpersonal and communication skills both written and verbal. "
Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.
At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.
Kyyba is an Equal Opportunity Employer
Benefits:
Major Medical Coverage, including dental and vision
401k
Term life
Short-term disability
Long-term disability
Pre-paid legal plan
Identity theft plan
Medical and dependent FSA
HSA
Paid time off
Paid holidays
Opportunity for advancement
SELECT AWARDS
•\tAn INC 5000 company for 10 years
•\tCorp Michigan Economic Bright Spots
•\tCrain’s Detroit Business Top Staffing Service Companies in Detroit
•\tTechServe Alliance Excellence Award- IT and Engineering Staffing & Solutions
•\tBest of MichBusiness winner in HR Wizards & Partnerships
•\tMetro Detroit Elite Category: Recruitment, Selection & Orientation for 101 Best & Brightest
•\t101 Best & Brightest Companies to Work for in Michigan
Monday - Friday: 8:30am to 5pm.Company DescriptionAbout Kyyba:\r
Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.\r
At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development. \r
\r
Kyyba is an Equal Opportunity Employer\r
\r
Benefits:\r
Major Medical Coverage, including dental and vision\r
401k \r
Term life\r
Short-term disability\r
Long-term disability\r
Pre-paid legal plan\r
Identity theft plan\r
Medical and dependent FSA\r
HSA\r
Paid time off\r
Paid holidays\r
Opportunity for advancement\r
\r
SELECT AWARDS\r
•\tAn INC 5000 company for 10 years\r
•\tCorp Michigan Economic Bright Spots \r
•\tCrain’s Detroit Business Top Staffing Service Companies in Detroit\r
•\tTechServe Alliance Excellence Award- IT and Engineering Staffing & Solutions\r
•\tBest of MichBusiness winner in HR Wizards & Partnerships\r
•\tMetro Detroit Elite Category: Recruitment, Selection & Orientation for 101 Best & Brightest\r
•\t101 Best & Brightest Companies to Work for in Michigan\r
\r
\t\r
Monday - Friday: 8:30am to 5pm.
-
Case Manager
5 days ago
Houston, United States Harris County Full time**Position Description**: **About Harris County Public Health**: Harris County Public Health (HCPH) includes a network of more than 700 public health professionals working together to improve health outcomes for the third most populous county in the United States. HCPH provides a multitude of services such as medical and dental services, community...
-
Case Manager
2 months ago
Houston, United States Aqrawi & Associates PLLC Full timeAs a case manager you will be the main person handling the case, while you work with an assistant case manager and supervising attorney to help you with what you need. Our case managers usually have caseloads anywhere between 100 - 120, and handle the case from treating to demand phase. - Ensure reliable and consistent client updates are being given on each...
-
Case Manager
7 days ago
Houston, United States Elijah Rising Full time**Case Manager Job Description** **Job Title**:Case Manager **Department**: Restorative Care **Reports To**: Restorative Care Director **FLSA Status**: Full-time (Exempt) **Organization** Elijah Rising's Restoration program serves survivors through residential care in a therapeutic setting. Centered around the eight dimensions of wellness, Elijah...
-
Case Manager
4 days ago
Houston, United States Northwest Talent Solutions Full timeAbout the job Case Manager Position: Case Manager Company Overview: Northwest Talent Solutions LLC is a leading recruitment firm working with an outstanding US-based healthcare client. The Northwest Talent Solutions team is a group of experienced professionals dedicated to delivering top talent to our list of esteemed clients. Job Summary: We are seeking a...
-
Case Manager
5 days ago
Houston, United States Encompass Health Full timeCase Manager (Travel Req'd) **Will travel throughout the Southwest Region (Texas).** **Case Manager Career Opportunity** **Recognized for your abilities as a Case Manager** Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a...
-
Case Manager RN
3 weeks ago
Houston, United States Kindred Hospital Houston Medical Center Full timeCase Manager RNAt Kindred It Starts With Me. Our commitment is to deliver excellence and an empathetic human experience to every patient, every family member, every employee, every time. We do this through our Core Values which help in guiding our work every day. Job Summary: The Case Manager II coordinates and facilitates the care of the patient...
-
Case Manager
4 days ago
Houston, United States Northwest Talent Solutions LLC Full timeJob DescriptionJob DescriptionPosition: Case ManagerCompany Overview: Northwest Talent Solutions LLC is a leading recruitment firm working with an outstanding US-based healthcare client. The Northwest Talent Solutions team is a group of experienced professionals dedicated to delivering top talent to our list of esteemed clients.Job Summary: We are seeking a...
-
Case Manager
3 weeks ago
Houston, United States Nexus Health Systems Ltd Full timeThe Case Manager is responsible for directing and coordinating the functions and activities of health care services delivery and discharge planning with the multidisciplinary team. The Case Manager facilitates communication and coordination between the health care team members involving both the resident and family in the decision-making process. Activities...
-
Case Manager
3 weeks ago
Houston, United States Nexus Health Systems Full timeThe Case Manager is responsible for directing and coordinating the functions and activities of health care services delivery and discharge planning with the multidisciplinary team. The Case Manager facilitates communication and coordination between the health care team members involving both the resident and family in the decision-making process. Activities...
-
Case Manager
3 weeks ago
Houston, United States Memorial Hermann Health System Careers Full timeAt Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed...
-
Case Manager RN
3 weeks ago
Houston, United States Kindred Hospital Houston Medical Center Full timeCase Manager RNAt Kindred It Starts With Me. Our commitment is to deliver excellence and an empathetic human experience to every patient, every family member, every employee, every time. We do this through our Core Values which help in guiding our work every day. Job Summary: The Case Manager II coordinates and facilitates the care of the patient population...
-
Case Manager
3 weeks ago
Houston, United States Bryce Poynt Consulting Full timeMust-Haves Education: Graduate of an accredited school of professional nursing required; Bachelor of Nursing preferred, or graduate of an accredited Master of Social Work program. Current and valid license to practice as a Registered Nurse in the state of Texas or Current and valid license as a Master Social Worker (LMSW) in the state of Texas required,...
-
Case Manager
2 months ago
Houston, United States Aqrawi & Associates PLLC Full timeJob DescriptionJob DescriptionSalary: 26-40As a case manager you will be the main person handling the case, while you work with an assistant case manager and supervising attorney to help you with what you need. Our case managers usually have caseloads anywhere between 100 – 120, and handle the case from treating to demand phase. The right candidate will...
-
Case Manager
3 weeks ago
Houston, United States Nexus Health Systems Full timeThe Case Manager is responsible for directing and coordinating the functions and activities of health care services delivery and discharge planning with the multidisciplinary team. The Case Manager facilitates communication and coordination between the health care team members involving both the resident and family in the decision-making process. Activities...
-
Case Manager
2 weeks ago
Houston, United States Nexus Health Systems Full timeThe Case Manager is responsible for directing and coordinating the functions and activities of health care services delivery and discharge planning with the multidisciplinary team. The Case Manager facilitates communication and coordination between the health care team members involving both the resident and family in the decision-making process. Activities...
-
Case Manager
7 days ago
Houston, United States Northwest Talent Solutions LLC Full time**Position**:Case Manager **Company Overview**:Northwest Talent Solutions LLC is a leading recruitment firm working with an outstanding US-based healthcare client. The Northwest Talent Solutions team is a group of experienced professionals dedicated to delivering top talent to our list of esteemed clients. **Minimum Qualifications** **Education**: -...
-
Case Manager
4 weeks ago
Houston, United States HEART OF THE KIDS SOCIAL SERVICES INC Full time"Company Description we suggest you enter details here Role Description This is a full-time role as a Case Manager at Heart of the Kids Social Services located in Houston, TX. The Case Manager will be responsible for managing a caseload of clients, conducting assessments, creating individualized service plans, coordinating services and resources, and...
-
Case Manager
4 weeks ago
Houston, United States HEART OF THE KIDS SOCIAL SERVICES INC Full time"Company Description we suggest you enter details here Role Description This is a full-time role as a Case Manager at Heart of the Kids Social Services located in Houston, TX. The Case Manager will be responsible for managing a caseload of clients, conducting assessments, creating individualized service plans, coordinating services and resources, and...
-
Case Manager
3 weeks ago
Houston, United States Memorial Hermann Health System Full timeAt Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed...
-
Case Manager
3 weeks ago
Houston, United States Memorial Hermann Health System Full timeAt Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed...
