About this role
Role Overview
- Assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state
- Guide members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
- Manage a caseload and completing assessments with members in their home or community‑based setting, as well as telephonically
- Provides clinical support and guidance, particularly for members with medical complexity
- Develop and coordinate care plans, ensuring that members receive appropriate services to manage their health needs effectively
- Address barriers to care and advocate for optimal member outcomes
- Review, assess, and complete medical complexity attestations and clinical oversight activities
- Ensure members receive services in the least restrictive setting to achieve and/or maintain optimal well‑being by assessing their care needs
- Develop and modify the Individual Care Plan and involve applicable members of the care team in the care‑planning process
- Support members and/or caregivers using an interdisciplinary approach to access social, housing, educational, and other services
- Serve as the primary point of contact for the Interdisciplinary Care Team (ICT) and coordinate with the member, ICT participants, and external resources to ensure the member’s needs are met
Requirements
- Must reside in the state of Michigan ( Wayne or Macomb Counties )
- Active Michigan license as a Registered Nurse ( RN ) or Advanced Practice Registered Nurse ( APRN ), including Nurse Practitioner ( NP ) or Clinical Nurse Specialist ( CNS) , with no disciplinary action
- 2+ years' experience in Health Care and/or Case Management
- Ability to travel to homes and community settings for face-to-face assessments
- Experience working with the adult population, disease management
- Knowledge of community health and social service agencies and additional community resources
- Ability to use a variety of electronic information applications & software programs including electronic medical records
- Excellent keyboard and web navigation skills
- Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel
Benefits
- Competitive Pay, including eligibility for annual performance-based bonus
- Employee Referral Program
- Medical, dental and vision benefits
- 401(k) retirement savings plan
- Paid time off, including company and personal holidays, volunteer time off, paid parental and caregiver leave
- Short-term and long-term disability
- Life insurance