Description

You will lead multidisciplinary team coordination to deliver person-centric care management for a diverse health plan population.

Responsibilities

• Lead the coordination of multidisciplinary teams to deliver holistic care management programs.
• Serve as the primary point of contact for members, caregivers, and providers via phone, email, text, and online messaging.
• Assess, develop, implement, monitor, and evaluate care plans to optimize member health.
• Partner with members, care providers, and community resources to achieve stated care goals.

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.
• Certification in Case Management (CCM) or ability to obtain it within 18 months of hire.
• Experience with Case Management and Managed Care.
• Knowledge of Acute Care and Medicare.

Preferred Skills

• Bachelor’s degree in nursing.
• 1 year of case management experience in a managed care setting.
• Experience managing patients via telephonic and digital channels, including mobile applications and messaging.
• Certification in Chronic Care Professional (CCP).

Key Skills

Education

Any Graduate