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RN Complex Care Manager

4 weeks ago


Cadillac, Michigan, United States Family Health Care Full time
Job Summary

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.
Requirements
  • 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.