RN-Case Manager

Henry Ford Health•Southfield, MI

19d•Onsite

About The Position

The Case Manager is a member of the hospital or specialty-based patient-centered care team or treatment team responsible for the collaborative practices of identification, assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual's and family's health care needs. In this role, you'll make a real difference by championing patient safety and quality outcomes while driving cost-effective care solutions. You'll conduct comprehensive assessments to identify patient and family needs, then develop and implement strategic care plans that optimize health outcomes across the entire care continuum. Your expertise in discharge planning will ensure safe, seamless transitions to the next level of care—whether that's home health, rehabilitation, or community-based services. You'll serve as a trusted advocate, navigating complex healthcare systems and connecting patients with critical resources while addressing social determinants of health that impact their wellbeing. Collaborating with internal and external stakeholders, you'll manage multiple complex patient cases simultaneously, using strong problem-solving and analytical skills to overcome barriers and facilitate positive health outcomes. Your compassionate approach, combined with your knowledge of Medicare and Medicaid regulations, clinical practice guidelines, and case management principles, will enable you to deliver person-centered care that truly transforms lives.

Requirements

Bachelor's degree in Nursing or Master's degree in Social Work
Minimum three (3) years of clinical experience
Excellent verbal communication and written documentation skills
Excellent customer service and interpersonal skills with the ability to interact with internal and external customers at all organizational levels
Strong problem-solving, analytical, and decision-making skills
Strong computer skills and technical knowledge
Knowledge of preventive service guidelines, clinical practice guidelines, and behavior change theory
Knowledge of Medicare and Medicaid regulations and case management principles
Knowledge of medical ethics and legal implications related to case management
Understanding of social determinants of health and their impact on patient wellbeing
Ability to facilitate community resources to meet the needs of diverse populations
Strong organizational, planning, and implementation skills with the ability to manage multiple complex patients' needs simultaneously
Strong sense of compassion with the ability to successfully advocate for patients and their families
Registered Nurse (RN) license or Licensed Master Social Worker (LMSW) with a valid, unrestricted State of Michigan license

Nice To Haves

Experience in discharge planning, home health care, rehabilitative medicine, or managed care
Certification in Case Management (CCM) by the Commission for Case Management Certification (CCMC)
Accredited Case Manager (ACM) by the American Case Management Association

Responsibilities

Identification, assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual's and family's health care needs.
Championing patient safety and quality outcomes while driving cost-effective care solutions.
Conduct comprehensive assessments to identify patient and family needs.
Develop and implement strategic care plans that optimize health outcomes across the entire care continuum.
Ensure safe, seamless transitions to the next level of care through discharge planning.
Serve as a trusted advocate, navigating complex healthcare systems and connecting patients with critical resources.
Address social determinants of health that impact patient wellbeing.
Collaborate with internal and external stakeholders.
Manage multiple complex patient cases simultaneously.
Facilitate positive health outcomes using strong problem-solving and analytical skills.
Deliver person-centered care.