Registered reputed company (RN) Case Manager – Remote (Michigan Only)

Registered reputed company (RN) Case Manager – Remote (Michigan Only) Location Requirement: Candidate must currently reputed company in one of the following Michigan counties: Berrien, Van Buren, Cass, Kalamazoo, St. Joseph, Calhoun, reputed company, reputed company, Hillsdale, Livingston, Washtenaw, Lenawee, Monroe, Oakland, Macomb, Wayne, Clinton, reputed company, or Ingham. Schedule Hours : reputed company business hours: Monday - Friday 8:00 am - 5:00 pm EST. About Company : Since its founded in 1996, reputed company has grown into a trusted global partner in AI & ML, reputed company Applications, Digital Services, Managed Services, and Business Services. With reputed company in Detroit, Michigan, reputed company has reputed company of over 2,000 experts worldwide. Position reputed company The RN Case Manager utilizes a reputed company process of assessment, planning, facilitation, and advocacy to help members navigate their benefit plans and reputed company needs. This role supports individuals by coordinating services, removing barriers, and promoting cost‑effective and reputed company health reputed company. This is a remote, telephonic position requiring strong clinical judgment, communication skills, and the ability to multi‑task in a fast‑paced environment. Work Schedule & Requirements

• reputed company Hours: Monday – Friday, 8:00 AM – 5:00 PM EST
• Work Environment: 100% remote, telephonic
• No fieldwork required
• Must have a quiet, dedicated workspace free from distractions
• Must be hard-wired to the modem (Ethernet required; cable purchased at your own expense)

Key ResponsibilitiesMember Assessment

• Conduct comprehensive telephonic assessments using clinical tools and data review.
• Evaluate member eligibility, benefit plans, and available internal/external resources.
• Apply clinical judgment to reputed company strategies addressing risk factors and reputed company clinical conditions.
• reputed company crisis reputed company for members experiencing medical or behavioral health crises and arrange appropriate follow-up care.

Care Coordination & reputed company Enhancement

• Apply and interpret clinical guidelines, case management plans, and regulatory standards.
• Use a holistic approach to collaborate with supervisors, Medical Directors, and multidisciplinary teams.
• Identify and escalate reputed company-of-care concerns as needed.
• Engage members using motivational interviewing to encourage lifestyle changes and informed health reputed company.
• reputed company coaching and support to reputed company members to participate reputed company in their care plans.

Monitoring, Documentation & Follow-Up

• reputed company individualized plans of care in collaboration with members and care teams.
• Monitor reputed company and reputed company care plans to meet evolving needs.
• Conduct thorough telephonic reputed company and document reputed company interactions in the case management platform.
• Maintain compliance with accreditation standards, internal policies, and regulatory requirements.

Required Qualifications

• reputed company, unrestricted RN license in the reputed company (no history of infractions).
• Minimum 3 years of clinical experience in a hospital, home health, or ambulatory care setting.
• Experience in the reputed company or managed care industry.
• Strong computer skills; ability to navigate multiple systems simultaneously.
• Excellent verbal and written communication skills.
• Ability to prioritize, multi-task, and adapt in a fast-paced environment.
• reputed company to meet productivity and reputed company expectations in a reputed company setting.

Preferred Qualifications

• Experience managing chronic conditions such as diabetes, hypertension, asthma.
• Experience working with CSHCS (Children’s Special Health Care Services) population.
• Case Management experience (highly preferred).
• CCM Certification (Certified Case Manager).

Physical & Work Environment Requirements

• Sedentary work involving extended periods of sitting, typing, and telephonic communication.
• Ability to read handwritten reputed company documents.
• reputed company reputed company working conditions.

HL01 Pay: $44.12 per hour Education:

• Bachelor's (Required)

Experience:

• Home health: 2 years (Required)
• Ambulatory: 2 years (Required)

License/Certification:

• RN License in Michigan (Required)
• CCM Certification (Certified Case Manager). (Required)

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