Case Management

About the role

A Case Manager is required to function at an advanced level of nursing and is required to understand the importance of disease management, critical pathways, continuum of care from admission through to discharge. The Case Manager will assess patient needs, facilitate inpatient planning using criteria sets, collaborate with physicians and other healthcare providers to develop a safe and appropriate plan of care for patients. A Case Manager may work in the Emergency Department, the Birthing Center or on the medical/surgical floors with either inpatients or Observation patients, depending on their pre-determined assignment.

Responsibilities

• Assess patient needs
• Facilitate inpatient planning using criteria sets
• Collaborate with physicians and other healthcare providers to develop a safe and appropriate plan of care for patients
• Work in the Emergency Department, the Birthing Center or on the medical/surgical floors with either inpatients or Observation patients

Requirements

• Minimum Education, Licensure / Certification and Experience Required: Bachelor of Science degree in Nursing or health related field or equivalent work experience. Current licensure to practice in Nursing in the State of Michigan. Progression toward or a completed certification in case management required. Current Basic Life Support (BLS) certification.
• Five years of clinical experience in nursing and recent (within 2 year) experience in utilization review/management/discharge planning or case management. Current knowledge of third party payor programs, requirements and applied criteria. Knowledge of federal, state and local regulation affecting utilization review programs and payments. Knowledge of regulatory and accrediting agency standards and regulations relative to utilization review.

Qualifications

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Skills

Knowledge of disease management, critical pathways, continuum of care from admission through to discharge, and ability to collaborate with physicians and other healthcare providers.

Benefits

Competitive compensation
Full benefits package including Medical, Dental, Vision, PTO, Life Insurance, Short and Long-term Disability
Nurse Residency Program for all new nurses!
Retirement savings plan with employer match and contributions
Opportunity for growth and advancement throughout Trinity Health
Tuition Reimbursement
DailyPay – Choose to get paid every day!

Pay

TBD

Schedule

Day Shift