RN Care Manager

3 days ago


Cadillac, Michigan, United States Family Health Care Full time
Job Summary

The RN Complex Care Manager is a key member of our multidisciplinary care team, responsible for ensuring quality, cost-effective care for our patients. This role involves managing patient treatment plans, coordinating care with medical providers, and ensuring efficient utilization of resources.

Key Responsibilities
  • Coordinate care for high-risk patients using Michigan Primary Care Transformation guidelines.
  • Identify and manage a caseload of approximately 150 complex patients, with 30-50 actively engaged.
  • Assess patient health, education, and psychosocial needs, using standardized assessment tools as needed.
  • Collaborate with primary care physicians to develop and update comprehensive care plans.
  • Provide targeted interventions to prevent hospitalizations and emergency room visits.
  • Coordinate care across settings and provide self-management support to patients and families.
  • Implement evidence-based systems of care and protocols to monitor high-risk patients.
  • Provide follow-up care when patients transition between settings.
Qualifications
  • Current RN licensure in Michigan; Associate's degree in nursing; Bachelor's degree in nursing (BSN) preferred.
  • Minimum 5 years of clinical nursing experience.
  • Knowledge of provider community and community resources in the Baldwin area.


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