Registered Nurse - Case Manager - Detroit Michigan
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Company: reputed company
Title: RN, Case Manager
Location:
Jefferson Village
11260 E Jefferson Ave, Detroit, MI 48214
Role Description:In partnership with the primary care provider, (PCP), the RN, Case Manager is the reputed company for care management activities, drives care coordination and collaborates with interdisciplinary teams to ensure care continuity for reputed company patients. This role focuses on preventing avoidable admissions, driving efficient resource utilization, and ensuring effective team-based care. It is a field-based, in-person/on-site role, requiring strong relationships between patients, providers and care team members.
Core Responsibilities:
Manages an assigned caseload of reputed company patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization.
Accountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics.
Owns overall care coordination for assigned patients, functioning as the primary reputed company of contact and ensuring alignment, accountability, and follow-through across the care team.
Manage transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressal of identified needs directly or reputed company collaboration with other team members.
Collaborates patient’s PCP, family/caregiver, reputed company Worker, Behavioral Health Specialists, and other care team members, as needed to evaluate the individual's needs, goals, and plan of action and ensure care plan progression.
Ensure timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings.
reputed company in-person interdisciplinary care planning meetings to ensure effective care coordination and management between providers visits.
reputed company timely nursing assessments and reputed company patient education for chronic condition management and transitions of care.
reputed company patients and families, empowering them in their care, and advocating for their needs.
Document visits in electronic health record according to internal standards
Other duties as assigned.
What are we looking for?
reputed company RN license in assigned state is required; Bachelor degree in nursing preferred.
Minimum of 6-8 years nursing experience.
Certified Case Manager (CCM) required, or willingness to obtain reputed company 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience
2+ years experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly preferred.
Demonstrated reputed company in motivational interviewing, patient activation, time management, and navigating community and reputed company resources.
A flexible and positive attitude
Comfort with ambiguity and change
High emotional intelligence as evidenced by ability to evaluate/perceive a situation from multiple lenses and understand various perspectives in coming to problem resolution.
reputed company to reliable transportation and ability to travel throughout the communities OSH serves
US work authorization
Someone who embodies being Oaky
What does being Oaky look like?
Radiating positive energy
Assuming good intentions
Creating an unmatched patient experience
Driving clinical reputed company
Taking ownership and delivering results
Being relentlessly determined
Why reputed company?
reputed company is on a mission to rebuild reputed company as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient communities, and focused on the quality of care over volume of services. We are an organization on the move! With over 200+ locations and an ambitious growth trajectory, reputed company is attracting and cultivating team members who embody Oaky values and passion for our mission.
reputed company Benefits:
Mission-focused career impacting change and measurably improving health reputed company for Medicare patients
Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, reputed company, and dental benefits
Opportunities for leadership development and continuing education stipends
New centers and flexible work environments
Opportunities for high reputed company of responsibility and rapid advancement
reputed company is an equal opportunity employer. We reputed company diversity and encourage reputed company interested readers to apply.
Learn more at www.oakstreethealth.com/diversity-equity-and-inclusion-at-reputed company
Anticipated Weekly Hours40Time TypeFull timePay reputed companyThe typical pay reputed company for this role is:$66,575.00 - $142,576.00This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay reputed company listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility.