Clinical Care Coordinator

8 hours ago

Detroit, Michigan, United States Strategic Staffing Solutions Full time

Job Summary: As a Case Manager RN with Strategic Staffing Solutions, you will lead the coordination of a multidisciplinary team to deliver a holistic, person-centric care management program to a diverse health plan population with a variety of health and social needs. Your key role will be as the single point of contact for members, caregivers, and providers using a variety of communication channels. You will utilize the case management process to assess, develop, implement, monitor, and evaluate 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.
  • Develop, implement, monitor, and evaluate care plans designed to optimize the member's health across the care continuum using the case management process.
  • 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 necessary resources 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 the effectiveness of the care management plan, assess adherence to the care plan to ensure progress toward goals, and adjust and reevaluate as necessary.
  • Document interactions that support management of the member accurately.
  • 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.
  • Adhere to professional standards as outlined by protocols, rules, and guidelines, meeting quality and production goals.

Requirements:

  • Nursing Diploma or Associates degree in nursing required.
  • Bachelor's degree in nursing strongly preferred.
  • Three years of clinical nursing experience in a clinical, acute/post-acute care, and community setting required.
  • One 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.

Certifications and Licenses:

  • Certification in Case Management (CCM) required or to be obtained within 18 months of hire.
  • Certification in Chronic Care Professional (CCP) preferred.
  • Current, active, and unrestricted Michigan Registered Nurse license required.

About S3:

  • We set the bar high for what a company should do.
  • We create jobs.
  • We offer people an opportunity to succeed and change their station in life.
  • We improve the communities where we live and work through volunteering and charitable giving.

As an S3 employee, you're eligible for 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.
  • Tuition Reimbursement.

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