RN Case Manager
Ypsilanti, MI
HumanEdge Travel Healthcare
5x8 hrs, Days

Job Opportunity: Case Manager

Job Title

Case Manager

Contract Length

13 weeks

Job Description

• Promote patient and employee safety with a focus on safe patient handling, materials handling, infectious diseases, slips/trips and falls, and work environment safety.
• Identify patient problems affecting their ability to participate in treatment plans.
• Assist patients and families in utilizing hospital resources and participating in decision-making for care plans and safe discharge planning.
• Collaborate with interdisciplinary teams, including physicians, to manage clinical plans of care and facilitate safe, timely discharges to appropriate levels of care.
• Refer patients and families to outside agencies for social issues unrelated to healthcare as required by state regulations.
• Maintain communication with supervisors regarding major patient condition changes and emergencies.
• Complete accurate and timely documentation, data collection, and statistical reporting.
• Participate in team meetings and facility-wide improvement initiatives.
• Ensure medical necessity reviews and utilization reviews are completed according to regulatory and payor requirements.
• Maintain up-to-date community resource knowledge and assist patients/families in accessing services.
• Collaborate with clinical teams to identify unnecessary appointments, tests, and procedures.
• Manage fiscal responsibilities related to billing and reimbursement, including insurance verification and payor satisfaction.
• Document plans of care and progress notes in compliance with policies and state regulations.
• Perform other duties as assigned.

Required Qualifications

• Current licensure as a Registered Nurse (RN) appropriate for the Case Manager role.
• Minimum 2 years of experience in Case Management and Discharge Planning in an Acute Care setting.
• Working knowledge of the insurance industry and government reimbursement processes.

Additional Information

• Emphasis on teamwork, resourcefulness, and results-oriented performance.
• Commitment to patient and employee safety as a core value.
• Strong communication and collaboration skills required.

This position is suitable for healthcare professionals with acute care case management experience seeking a 13-week contract.