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Nurse Case Manager II

2 weeks ago


Pontiac, United States ICONMA Full time

Our Client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Barry County MI, / Van Buren County, MI /Kalamazoo County, MI / Calhoun County, MI / Branch County, MI / St Joseph County, MI / Cass County, MI / Berrien County, MI location.Applying for this role is straight forward Scroll down and click on Apply to be considered for this position. Responsibilities: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures Requirements: Verifyable High School Diploma or GED Required        Minimum 3-5 years clinical practical experience preferred Minimum 2-3 years Care Management, discharge planning and/or home health care coordination experience preferred Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually Excellent analytical and problem-solving skills Effective communications, organizational, and interpersonal skills. Ability to work independently Effective computer skills including navigating multiple systems and keyboarding Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications Typical office working environment with productivity and quality expectations Experience with case management. Case Management Certification CCM preferred Why Should You Apply? xhmxlyz Health Benefits Referral Program Excellent growth and advancement opportunities As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.