Nurse Case Manager II

4 weeks ago


Wayne County MI, United States US Tech Solutions Full time

Duration : 4+ Months (possible extension) Location : (50% travel within your county/region, 50% remote; mileage reimbursed) covering Wayne / Macomb / Barry / Van Buren / Kalamazoo / Calhoun / Branch / St. Joseph / Cass / Berrien counties. Job Overview RN Case Manager The Case Manager (RN) is responsible for coordinating care for health plan members by using a collaborative process of assessment, planning, facilitation, and advocacy. The goal is to help members access the right services at the right time while ensuring care is clinically appropriate, cost-effective, and aligned with their benefit plan. This role requires an active, unrestricted Registered Nurse (RN) license in the state of Michigan (MI). The Case Manager uses clinical tools, data, and established guidelines to complete assessments, develop care plans, coordinate services, and monitor outcomes, all while working within regulatory, accreditation, and organizational policy standards. Key Job Duties / Responsibilities Conduct comprehensive clinical assessments of referred members using clinical tools, data review, and member/family/provider input. Determine member eligibility, needs, and appropriate approach to case resolution based on the members benefit plan and available internal and external resources. Apply and interpret case management criteria, guidelines, standardized case management plans, policies, and procedures to ensure appropriate administration of benefits. Develop, implement, and monitor individualized care plans to support member health goals and promote optimal, cost-effective outcomes. Coordinate services across providers, facilities, and community resources to ensure timely and appropriate care delivery. Utilize case management and quality management processes in compliance with regulatory, accreditation, and organizational requirements. Document all assessments, care plans, interventions, and member interactions accurately and timely in the appropriate systems. Communicate effectively (verbal and written) with members, families, providers, and internal stakeholders to support care coordination and issue resolution. About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit . US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Recruter Details: Name : Umar Email : umar.farooq@ustechsolutionsinc.com Internal Id #25-53434


  • Nurse Case Manager II

    2 weeks ago


    Wayne, MI, United States ICONMA Full time

    Our Client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Wayne County, MI/ Macomb County, MI location. Check out the role overview below If you are confident you have got the right skills and experience, apply today.   Responsibilities: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and...

  • Nurse Case Manager II

    4 weeks ago


    Wayne County, MI, United States US Tech Solutions Full time

    Duration : 4+ Months (possible extension) Location : (50% travel within your county/region, 50% remote; mileage reimbursed) covering Wayne / Macomb / Barry / Van Buren / Kalamazoo / Calhoun / Branch / St. Joseph / Cass / Berrien counties. Job Overview – RN Case Manager The Case Manager (RN) is responsible for coordinating care for health plan members by...


  • Wayne, United States ICONMA Full time

    Our Client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Wayne County, MI/ Macomb County, MI location. Responsibilities: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and...

  • Nurse Case Manager II

    4 weeks ago


    Wayne, United States ICONMA Full time

    Our Client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Wayne County, MI/ Macomb County, MI location. Responsibilities: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication...


  • Wayne, United States ICONMA Full time

    Our Client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Wayne County, MI/ Macomb County, MI location. Responsibilities: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication...


  • Wayne, MI, United States ICONMA Full time

    Our Client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Wayne County, MI/ Macomb County, MI location. Responsibilities: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication...

  • Nurse Case Manager II

    2 weeks ago


    Wayne, United States ICONMA Full time

    Our Client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Wayne County, MI/ Macomb County, MI location.Check out the role overview below If you are confident you have got the right skills and experience, apply today. Responsibilities: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and...

  • Nurse Case Manager II

    4 weeks ago


    Wayne County, United States US Tech Solutions Full time

    Duration: 4+ Months (possible extension)Location: (50% travel within your county/region, 50% remote; mileage reimbursed) covering Wayne / Macomb / Barry / Van Buren / Kalamazoo / Calhoun / Branch / St. Joseph / Cass / Berrien counties.Job Overview – RN Case ManagerThe Case Manager (RN) is responsible for coordinating care for health plan members by using a...

  • Nurse Case Manager II

    4 weeks ago


    Wayne County, United States US Tech Solutions Full time

    Duration: 4+ Months (possible extension)Location: (50% travel within your county/region, 50% remote; mileage reimbursed) covering Wayne / Macomb / Barry / Van Buren / Kalamazoo / Calhoun / Branch / St. Joseph / Cass / Berrien counties.Job Overview – RN Case ManagerThe Case Manager (RN) is responsible for coordinating care for health plan members by using a...

  • Nurse Case Manager II

    4 weeks ago


    Wayne, MI, United States US Tech Solutions Full time

    Duration: 4+ Months (possible extension) Location: (50% travel within your county/region, 50% remote; mileage reimbursed) covering Wayne / Macomb / Barry / Van Buren / Kalamazoo / Calhoun / Branch / St. Joseph / Cass / Berrien counties. Job Overview – RN Case Manager The Case Manager (RN) is responsible for coordinating care for health plan members by...