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Healthcare Case Coordinator

2 months ago


Detroit, Michigan, United States Strategic Staffing Solutions Full time

STRATEGIC STAFFING SOLUTIONS (S3) IS HIRING

The following information is intended to provide potential candidates with a comprehensive understanding of the qualifications and responsibilities associated with this position.

Strategic Staffing Solutions is currently seeking a Registered Nurse Case Coordinator for a contract opportunity with a prominent healthcare organization.

Position Type:
Contract (long-term)

Work Arrangement:
Remote – Candidates must reside in a state that participates in the Nurse Compact (multi-state licensure).

Key Qualifications:

  • Experience in Acute Care settings
  • Possession of a multi-state compact nursing license
  • Background in case management
  • Strong critical thinking abilities

ROLE OVERVIEW
The RN Case Coordinator is responsible for leading a multidisciplinary team to implement a comprehensive, person-centered care management program tailored to a diverse health plan population with varying health and social needs.

This role serves as the primary point of contact for members, caregivers, and healthcare providers, utilizing various communication methods such as phone, email, text, and online messaging platforms.

The RN Case Coordinator employs the case management process to assess, create, implement, monitor, and evaluate care plans aimed at optimizing the health of members throughout the care continuum.

Collaboration with members, healthcare providers, and community resources is essential to develop and execute effective care plans that achieve desired health outcomes.

PRIMARY RESPONSIBILITIES

  • Facilitate the coordination of a regionally aligned, multidisciplinary team to deliver holistic care that meets member needs through telephonic and digital means.
  • Utilize the case management process to assess, develop, implement, monitor, and evaluate care plans that enhance members' health across the care continuum.
  • Evaluate members' health, psychosocial needs, cultural preferences, and support systems.
  • Engage members and/or caregivers to formulate individualized care plans, address barriers, identify care gaps, and promote improved health outcomes.
  • Organize necessary resources to meet identified needs, including community resources, mental health services, and financial support.
  • Coordinate care delivery and support among member support systems, including healthcare providers and community agencies.
  • Advocate for members and encourage self-advocacy.
  • Provide education on health literacy, self-management skills, medication plans, and nutrition.
  • Monitor and assess the effectiveness of the care management plan, ensuring adherence to goals and making adjustments as necessary.
  • Document interactions accurately to support member management.
  • Prepare members and/or caregivers for transitions from facilities to home or other healthcare settings to ensure continuity of care.
  • Educate members and/or caregivers about post-transition care and necessary follow-up, summarizing the care episode.
  • Facilitate the acquisition of durable medical equipment and transportation services, communicating this information to members and caregivers.
  • Adhere to professional standards as outlined by protocols, rules, and guidelines while meeting quality and productivity objectives.

EDUCATIONAL BACKGROUND AND EXPERIENCE

  • Required: Nursing Diploma or Associate's degree in nursing.
  • Preferred: Bachelor's degree in nursing.
  • Required: Minimum of 3 years of clinical nursing experience in acute/post-acute care and community settings.
  • Preferred: At least 1 year of case management experience in a managed care environment.
  • Preferred: Experience managing patients through telephonic and digital channels.

CERTIFICATIONS AND LICENSES

  • Required: Current, active, and unrestricted Registered Nurse license (Compact License).
  • Required: Certification in Case Management (CCM) or to be obtained within 18 months of hire.
  • Preferred: Certification in Chronic Care Professional (CCP).