Case Manager (RN)

Mightyworks       |    Location:MI       |    Country:United States Of America

Duties: <ul> <li>Responsible for utilizing the nursing process in the development of treatment plans, with established goals, implementation, monitoring and evaluation of an assigned patient case loads in order to provide quality care appropriate to clinical needs.</li> <li>Review and analyze referrals from a variety of sources for acceptance into the program</li> <li>Evaluate patient needs, identify and recommend cost-effective health care options</li> <li>Assure member health needs are consistent with nursing standards and practices, provide recommendations</li> <li>Develop and monitor action plans established between member, family and/or designee and physician</li> <li>Develop preauthorization review plans for the review of RN clinical cases</li> <li>Make arrangements for DME supplies, medications, community resources and facilities</li> <li>Educate patient and family and/or designee to processes, care practices, medication(s) and benefits</li> </ul> Requirements/Preferred: <ul> <li>Registered Nurse with current Michigan License required</li> <li>Nursing Diploma or Associates Degree in Nursing Bachelors degree in Nursing or related fields (preferred)</li> <li>CCM certification (preferred)&nbsp;If not certified upon hire, encouraged to become CCM certified within four (4) years of functioning in a case management role Certification in Chronic Care Professional (preferred)</li> <li>Two (2) years full time equivalent of direct clinical care to the consumer</li> <li>Two (2) to four (4) years of clinical experience preferably in Case Management or Home Health Care with a Medical/Surgical background</li> <li>Working knowledge of Case Management principles and procedures based on nationally recognized standards of Case Management</li> </ul> Location: Detroit, MI 48243