RN Field Care Manager Nurse

Position Responsibilities

• Manages a caseload and completes assessments with members in their home or community-based setting, as well as telephonically.
• Provides clinical support and guidance, particularly for members with medical complexity.
• Helps develop and coordinate care plans, ensuring that members receive appropriate services to manage their health needs effectively.
• Addresses barriers to care and advocates for optimal member outcomes.
• Reviews, assesses, and completes medical complexity attestations and clinical oversight activities.
• Safeguards members receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
• Develops and modifies the Individual Care Plan and involves applicable members of the care team (informal caregiver, coach, PCP, etc.) in the care-planning process.
• Focuses on supporting members and/or caregivers using an interdisciplinary approach to access social, housing, educational, and other services—regardless of funding source—to meet identified needs.
• Serves as the primary point of contact for the Interdisciplinary Care Team (ICT) and is responsible for coordinating with the member, ICT participants, and external resources to ensure the member’s needs are met.

Required Qualifications

• Must reside in the state of Michigan (Wayne or Macomb Counties).
• Active Michigan license as a Registered Nurse (RN) or Advanced Practice Registered Nurse (APRN), including Nurse Practitioner (NP) or Clinical Nurse Specialist (CNS), with no disciplinary action.
• 2+ years' experience in Health Care and/or Case Management.
• Experience working with the adult population, disease management.
• Knowledge of community health and social service agencies and additional community resources.
• Excellent keyboard and web navigation skills.
• Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.

Preferred Qualifications

• Bachelor of Science in Nursing (BSN).
• Experience with in home assessment and care coordination experience.
• Experience with health promotion, coaching and wellness.
• Previous managed care experience.
• Bilingual- Spanish, Arabic or Chaldean Neo-Aramaic.
• Certification in Case Management.
• Motivational Interviewing Certification and/or knowledge.