RN Case Manager

3 days ago


Hamtramck, Michigan, United States Strategic Staffing Solutions Full time
Job Title: RN Case Manager

Strategic Staffing Solutions is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will play a critical role in coordinating care for our clients, ensuring they receive the best possible outcomes.

Job Summary

The RN Case Manager will lead the coordination of a multidisciplinary team to deliver a holistic, person-centered care management program to a diverse health plan population. This includes assessing, developing, implementing, monitoring, and evaluating care plans designed to optimize the member's health across the care continuum.

Key Responsibilities
  • Lead the coordination of a regionally aligned, multidisciplinary team to provide holistic care to meet member needs telephonically and/or digitally.
  • Use the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the members' health across the care continuum.
  • Assess the member's health, psychosocial needs, cultural preferences, and support systems.
  • Engage the member and/or caregiver to develop an individualized plan of care, address barriers, identify gaps in care, and promote improved overall health outcomes.
  • Arrange resources necessary to meet identified needs (e.g., community resources, mental health services, substance abuse services, financial support services, and disease-specific services).
  • Coordinate care delivery and support among member support systems, including providers, community-based agencies, and family.
  • Advocate for members and promote self-advocacy.
  • Deliver education to include health literacy, self-management skills, medication plans, and nutrition.
  • 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
  • Nursing Diploma or Associates degree in nursing required.
  • Bachelor's degree in nursing strongly preferred.
  • 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.
About Strategic Staffing Solutions

At Strategic Staffing Solutions, we are committed to building trusting relationships and delivering solutions that positively impact our customers, our consultants, and our communities. We offer a full benefits package that may include medical insurance, dental insurance, vision insurance, 401(k) plan, vacation package, life & disability insurance plans, flexible spending accounts, and tuition reimbursement.


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