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RN Complex Care Manager
4 weeks ago
The RN Complex Care Manager plays a critical role in ensuring quality, cost-effective care for patients with complex needs. As a lead in a multidisciplinary care team, this individual is responsible for managing patient treatment plans, coordinating care with medical providers, and ensuring efficient utilization of resources.
Key Responsibilities- Coordinate care for patients identified using Michigan Primary Care Transformation (MiPCT) guidelines.
- Identify high-risk populations and manage a caseload of approximately 150 complex patients.
- Assess patient and family needs, using standardized assessment tools as needed.
- Collaborate with primary care physicians to develop and update comprehensive care plans.
- Provide targeted interventions to prevent hospitalizations and emergency room visits.
- Coordinate care across settings and provide self-management support to patients and families.
- Implement evidence-based systems of care and protocols to prevent and intervene early during acute health exacerbations.
- Current RN licensure in Michigan; Associate's degree in nursing; Bachelor's degree in nursing (BSN) preferred.
- Minimum 5 years clinical nursing experience.
- Knowledge of provider community and community resources in the Baldwin area.
- Comprehensive knowledge of insurance company principles and outpatient delivery systems.