Care Manager RN

6 days ago


Detroit, Michigan, United States Advantasure Full time
Care Manager RN Job Description

At Advantasure, we are seeking a skilled Care Manager RN to lead the coordination of a multidisciplinary team in delivering a holistic, person-centered care management program to a diverse health plan population.

Key Responsibilities:

* Lead the coordination of a regionally aligned, multidisciplinary team to provide holistic care to meet member needs telephonically and/or digitally.
* Monitor and evaluate effectiveness of the care management plan, assess adherence to care plan to ensure progress to goals and adjust and reevaluate as necessary.
* Accurately document interactions that support management of the member.
* Prepare the member and/or caregiver for discharge from a facility to home or for transfer to another healthcare facility to support continuity of care.
* Educate the member and/or caregiver about post-transition care and needed follow-up, summarizing what happened during an episode of care.
* Secure durable medical equipment and transportation services and communicate this to the member and/or caregiver and to key individuals at the receiving facility or home care agency.

Requirements:

* RN - Registered Nurse - Multi-State-Licensure,
* Must reside and be licensed in the same state that is part of the Nurse Compact
* Must have exemplary computer skills and be able to utilize multiple systems when interacting with members/providers - Strongly Preferred

Certifications:

* Certification in Case Management (CCM) required or to be obtained within 18 months of hire
* Certification in Chronic Care Professional (CCP) preferred

Preferred Qualifications:

* 3 years of clinical nursing experience in a clinical, acute/post-acute care, and community setting required.
* 1 year of case management experience in a managed care setting strongly preferred.
* Experience managing patients telephonically and via digital channels (mobile applications and messaging) preferred.

If you are a motivated and compassionate Care Manager RN looking to make a difference in the lives of our members, we encourage you to apply for this exciting opportunity.
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