Ambulatory RN Care Manager Southeast Michigan Canton

Employment Type:

Shift:

Description:

Position Summary:

Performs assessment treatment planning intervention monitoring evaluation and documentation on identified High Risk members. Assesses and develops a care plan in collaboration with the admitting attending and consulting physician the member and other health care practitioners. Effectively manages members on an outpatient basis to ensure provision of an appropriate level of care to minimize inpatient re-admissions and to ensure that members medical environmental and psychosocial needs are met across the continuum of care.

What the RN Care Manager will need:

Graduation from an accredited BSN Program

Current Michigan RN license current CPR certification valid Michigan Drivers license.

Three years acute care or case management experience.

Preferred: Two years of utilization or HMO experience.

Fast paced environment managing multiple tasks and patients at the same time while showing respect and courtesy to each individual.

Possible exposure to infectious disease hazardous chemical and blood and body fluid.

Ability to work flexible schedules.

What the RN Care Manager will do:

Keeps member/family members or other customers informed and requests further assistance when needed.

Demonstrates ability to follow through with requests sharing of critical information and getting back to individuals in a timely manner.

Functions as liaison between administration members physicians and other healthcare providers.

Interacts professionally with member/family/physicians and involves member/family/physicians in formation of the plan of care.

Performs a Health Risk Assessment (HRA) of the member and determines an acuity score for necessary scheduled follow-up.

Develops an outcome-based plan of care based on the members input and assessed member needs. Implements and evaluates the plan of care as often as needed as evidenced by documentation in the members case file.

Documents member assessment and reassessment member care plans and other pertinent information completed in the members medical record in accordance with Trinity Health Alliance of Michigan charting methodology nursing standards and company policies and procedures.

Maintains standard workflow to meet NCQA standards alignment and manages patient caseload to meet annual contract patient care goals.

Our Commitment

Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.

Required Experience:

Manager