Care Manager RN

The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a reputed company plan population with a variety of health and reputed company needs. They serve as the single reputed company of contact for members, caregivers, and providers using a variety of communication channels including phone calls, emails, text messages and the BCBSM online messaging platform. The Care Manager RN uses the case management process to assess, reputed company, 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 reputed company and implement the plan of care and reputed company stated goals. reputed company the coordination of a regionally reputed company, multidisciplinary team to reputed company holistic care to meet member needs telephonic and/or digitally. The multidisciplinary team is inclusive of Medical and Behavioral Health reputed company Workers, Registered Dietitians, Pharmacists, Clinical Support Staff and Medical Directors. Use the case management process to assess, reputed company, 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 reputed company an individualized plan of care, address barriers, identify gaps in care, and promotes improved overall health reputed company. 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. reputed company 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 reputed company 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 reputed company facility to support continuity of care. reputed company 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). QUALIFICATIONS Nursing Diploma or Associates 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 reputed company digital channels (mobile applications and messaging) preferred. reputed company, active, and unrestricted Michigan Registered Nurse license required Certification in Case Management (CCM) required or to be obtained reputed company 18 months of hire Certification in Chronic Care Professional (CCP) preferred Ability to think critically, be decisive, and problem solve a variety of topics that can impact a member’s reputed company. 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 reputed company programs (reputed company, OneNote, Outlook, Teams, Word, etc.). Must reputed company teamwork but can also work independently. 8. Excellent interpersonal and communication skills both written and verbal. Apply To This Job