Description

Lead a multidisciplinary team to deliver holistic, person-centric care management to a diverse health plan population.

Responsibilities

• Lead social workers, dietitians, pharmacists, and medical directors to meet member needs via telephonic and digital channels.
• Assess member health, psychosocial needs, and cultural preferences to develop, implement, and monitor individualized care plans.
• Coordinate care delivery and resources such as community services, mental health support, and substance abuse services.
• Educate members and caregivers on health literacy, self-management, medication plans, and nutrition.
• Document all member interactions accurately and manage transitions of care, including facility discharges and transfers.

Required Skills

• Current, active, and unrestricted Michigan Registered Nurse license.
• Nursing Diploma or Associate Degree in Nursing.
• 3 years of clinical nursing experience in clinical, acute/post-acute care, or community settings.
• Ability to obtain Certified Case Manager (CCM) certification within 18 months of hire.
• Proficiency with Microsoft Office tools including OneNote, Outlook, Teams, and Word.
• Experience managing patients through telephonic and digital channels.

Preferred Skills

• Bachelor’s degree in nursing.
• 1 year of case management experience in a managed care setting.

Key Skills

Education

Any Graduate