Nurse Case Manager II (SW Michigan)

Lansing, IL - USA

Monthly Salary: Not Disclosed

Posted on: 6 hours ago

Vacancies: 1 Vacancy

Job Summary

Here are the job details for your review:

Job Title: Nurse Case Manager II - MI

Job Location- Field - MI

Duration: 5 Months Contract (Potential for extension)

Pay Rate:$44.12/HR on W2

Shift M-F - 8AM-5 PM

Field and Telephonic - Positions in Macomb and Wayne Counties.

Local travel: 50-75% - Miles will be Paid

Candidates should be either in one of these counties or very close to it. They will be traveling to this region. Sourcing for SW Michigan (Counties: Barry Van Buren Kalamazoo Calhoun Branch St Joseph Cass and Berrien Counties)

Description

The Case Manager utilizes a collaborative process of assessment planning facilitation and advocacy for options and services to meet an individuals benefit plan and/or health needs through communication and available resources to promote optimal cost-effective outcomes. Requires an RN with unrestricted active license

Through the use of clinical tools and information/data review conducts comprehensive assessments of referred members needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating members benefit plan and available internal and external programs/services. Application and/or interpretation of applicable criteria and guidelines standardized case management plans policies procedures and regulatory standards while assessing benefits and/or members needs to ensure appropriate administration of benefits Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

Experience

3 years Clinical practice experience e.g. hospital setting alternative care setting such as home health or ambulatory care required.
Healthcare and/or managed care industry experience.
Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Effective communication skills both verbal and written.
Ability to multitask prioritize and effectively adapt to a fast paced changing environment
Sedentary work involving periods of sitting talking listening. Work requires sitting for extended periods talking on the telephone and typing on the computer.
Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
Typical office working environment with productivity and quality expectations

Education

RN with current unrestricted state licensure.

Case Management Certification CCM preferred.

Here are the job details for your review: Job Title: Nurse Case Manager II - MI Job Location- Field - MI Duration: 5 Months Contract (Potential for extension) Pay Rate:$44.12/HR on W2 Shift M-F - 8AM-5 PM Field and Telephonic - Positions in Macomb and Wayne Counties. Local...