Local Contract Nurse RN - Clinic Case Management
Kalamazoo, MI
Apidel Technologies
5x8 hrs, Days
Referral Bonus

***This is a Local Contract job in Kalamazoo , MI ***** No Travel worker will be considered.
Job Description-
Position: Nurse Case Manager II
Location: Wayne, Macomb, Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien Counties MI (Hybrid)
Candidate will travel approximately 50% of the time within the County seeing members at their homes, in Assisted Living Facilities and Skilled Nursing Facilities.
Duration: 03 Months (with possibilities of extension)
Shift: 8am-5pm Monday - Friday
Position Summary
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license
Duties
• Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's 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 member’s 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?