Nursing Care Manager

1 week ago


Big Rapids, Michigan, United States Corewell Health Full time
About Corewell Health

Corewell Health operates a network of outpatient clinics across Michigan, providing a range of care options to the communities we serve. Our organization comprises over 40 different types of primary care and specialty practices, offering opportunities for professionals to learn and specialize in various areas.

Scope of Work

As a Care Manager, you will be responsible for planning and prioritizing care for individuals and populations of patients, focusing on strategies that promote optimal health within populations. You will demonstrate expertise and current knowledge in nursing care and management of a caseload of patients with varying complexity, seeking to improve patient, family, and health systems/community outcomes through the application of educational concepts/skills and preventive care in a managed care environment.

Key Responsibilities
  • Assess internal and external referrals to identify patient/significant others' needs, level of intensity, insurance benefits, and other patient resources.
  • Develop a plan of care and make recommendations to primary care physicians, specialists, and other members of the healthcare team regarding care management strategies, identifying strategies to maximize continuity of care across the continuum.
  • Assess the educational needs of patients, families, and members of the healthcare team and develop and implement appropriate teaching strategies or make referrals.
  • Communicate and collaborate with patients/significant others/providers/payers to coordinate services that improve access to appropriate services across the continuum of care and promote optimal health in a cost-effective manner.
  • Measure patient care outcomes, interpret reports, and analyze data trends for groups of patients.
  • Document patient data, plan, interventions, and outcomes according to department guidelines.
Benefits

As a valued member of our team, you will enjoy a comprehensive benefits package, including:

  • A competitive salary and benefits package.
  • Opportunities for professional growth and development.
  • A supportive and collaborative work environment.
  • Recognition and rewards for outstanding performance.
Qualifications

To be successful in this role, you will need:

  • A Bachelor's Degree in Nursing.
  • 5 years of relevant clinical experience, preferably in a managed care or case management setting.
  • 2 years of relevant experience in clinical nursing and/or case management/managed care or a related field.


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