Case Manager RN
4 weeks ago
Job Specialty: Integrated Case Management
Job Duration: 14 months
Shift: Full-Time Day Shift (8:30 AM - 5 PM), rotating schedule with weekend availability required
Guaranteed Hours: 40.00 hours per week
Experience: 3-5 years of case management experience
License:
- Registered Nurse (RN) with a valid, unrestricted State of Michigan license.
- Licensed Social Worker (LMSW) with a valid, unrestricted State of Michigan license.
Certifications: N/A
Must-Have:
- Clinical background
- Strong computer skills
- Strong communication and interpersonal skills
- Experience in case management
Job Description:
- Conduct comprehensive assessments of patient and family/caregiver biomedical, psychological, social, and functional needs to evaluate potential impacts on recovery.
- Develop personalized, patient-centered care plans aimed at optimizing the patient's care experience.
- Engage patients and their families as part of the care team through advocacy, communication, health education, resource identification, and service facilitation.
- Utilize professional judgment, critical thinking, motivational interviewing, and self-management techniques to assist patients in overcoming barriers to goal achievement.
- Provide counseling and interventions related to treatment decisions and end-of-life issues, including advanced care planning.
- Ensure seamless and safe transitions for patients between care settings.
- Advocate for appropriate delivery of services within the patient's health plan benefit structure.
- Collaborate with treatment/care team members to co-manage patients with complex medical and social needs, facilitating interdependent collaborative care conferences.
- Continually evaluate patient responses to the care/treatment plan, making necessary modifications.
- Plan and participate in process improvement activities designed to reduce risk, including data collection, analysis, and follow-up intervention activities.
- Facilitate interventions in cases involving child abuse and neglect, domestic violence, elder abuse, institutional abuse, and sexual assault.
- Support department-based goals contributing to organizational success.
- Perform other duties as assigned.
Preferred Experience:
- Experience in discharge planning, home health care, rehabilitative medicine, community health, or managed care.
- Knowledge of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations, and case management principles.
- Understanding of social determinants of health and their impact on patient wellbeing.
- Ability to facilitate community resources to meet the needs of diverse populations.
- Strong organizational, planning, and implementation skills with the ability to handle multiple complex patient needs simultaneously.
- Strong sense of compassion with the ability to successfully advocate for patients and their families.
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