Case Manager - Umanist Staffing LLC

Title: Case Manager

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Work Location: Detroit, MI, 48226

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Duration: 12 Months& & & & & & & & & & &

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Job Type: Contract& & & &

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Work Type: Remote

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ENGAGEMENT DESCRIPTION:

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The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social needs.& &

They serve as the single point of contact for members, caregivers, and providers using a variety of communication channels including phone calls, emails, text messages and the client online messaging platform.& &

The Care Manager RN uses the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the member’s health across the care continuum.& &

They work in partnership with the member, providers of care and community resources to develop and implement the plan of care and achieve stated goals.&

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned:&

Lead the coordination of a regionally aligned, multidisciplinary team to provide holistic care to meet member needs telephonic and/or digitally.& &

The multidisciplinary team is inclusive of Medical and Behavioral Health Social Workers, Registered Dietitians, Pharmacists, Clinical Support Staff and Medical Directors.&

Use the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the members’ health across the care continuum.&

Assess the member's health, psychosocial needs, cultural preferences, and support systems.& &

Engage the member and/or caregiver to develop an individualized plan of care, address barriers, identify gaps in care, and promotes improved overall health outcomes.&

Arrange resources necessary to meet identified needs (e.g., community resources, mental health services, substance abuse services, financial support services and disease-specific services).&

Coordinate care delivery and support among member support systems, including providers, community-based agencies, and family.&

Advocate for members and promote self-advocacy.&

Deliver education to include health literacy, self-management skills, medication plans, and nutrition.& &

Monitor and evaluate effectiveness of the care management plan, assess adherence to care plan to ensure progress to goals and adjust and reevaluate as necessary.&

Accurately document interactions that support management of the member.&

Prepare the member and/or caregiver for discharge from a facility to home or for transfer to another healthcare facility to support continuity of care.&

Educate the member and/or caregiver about post-transition care and needed follow-up, summarizing what happened during an episode of care.&

Secure durable medical equipment and transportation services and communicate this to the member and/or caregiver and to key individuals at the receiving facility or home care agency.&

Adhere to professional standards as outlined by protocols, rules and guidelines meeting quality and production goals.&

Continue professional development by completing relevant continuing education and maintaining Certified Case Manager (CCM).&

EDUCATION AND EXPERIENCE&

Nursing Diploma or associate's degree in nursing required.&

Bachelor’s degree in nursing strongly preferred.&

3 years of clinical nursing experience in a clinical, acute/post-acute care, and community setting required.&

1 year of case management experience in a managed care setting strongly preferred.&

Experience managing patients telephonically and via digital channels (mobile



applications and messaging) preferred.&

CERTIFICATES, LICENSES, REGISTRATIONS&

Current, active, and unrestricted Michigan Registered Nurse license required&

Certification in Case Management (CCM) required or to be obtained within 18 months of hire&

Certification in Chronic Care Professional (CCP) preferred QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.& &

The requirements listed below are representative of the knowledge, skill, and/or ability required.& &

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.&

OTHER SKILLS AND ABILITIES&

Ability to think critically, be decisive, and problem solve a variety of topics that can impact a member’s outcomes.&

Empathetic, supportive and a good listener.&

Proficient in motivational interviewing skills.&

Demonstrated time management skills.&

Organizational skills with the ability to manage multiple systems/tools, while simultaneously interacting with a member.&

Must have intermediate computer knowledge, typing capability and proficiency in Microsoft programs (Excel, OneNote, Outlook, Teams, Word, etc.).&

Must embrace teamwork but can also work independently.&

Excellent interpersonal and communication skills both written and verbal."