RN Care Manager Resource

Corewell Health • Grand Rapids, MI

1d • Onsite

About The Position

This position involves planning and prioritizing care for individuals and patient populations, with a focus on promoting optimal health within these groups. The role requires expertise and current knowledge in nursing care and managing a diverse caseload of patients. The RN Care Manager aims to improve patient, family, and health system/community outcomes by applying educational concepts, skills, and preventive care within a managed care environment. Key aspects include assessing referrals to identify patient needs, insurance benefits, and resources; developing care plans and making recommendations to the healthcare team to ensure continuity of care; assessing and addressing educational needs of patients, families, and the healthcare team; coordinating services with various stakeholders to improve access and promote cost-effective optimal health; measuring patient care outcomes; and documenting all patient data, plans, interventions, and outcomes according to department guidelines.

Requirements

• Bachelor's Degree or equivalent Nursing or a healthcare related field
• BSN must be obtained within 7 years for those who start in this RN role on or after January 1, 2017 for all Corewell Health Hospitals.
• 2 years of relevant experience clinical nursing and or case management/managed care or related field
• Registered Nurse (RN) - State of Michigan Upon Hire required

Nice To Haves

• 5 years of relevant experience clinical nursing and or case management/managed care or related field
• Case Manager, Certified (CCM) - CCMC Commission for Case Manager Certification Upon Hire preferred

Responsibilities

• Plans and prioritizes care for individuals and population of patients, focusing on strategies that will promote optimal health within populations.
• Demonstrates expertise, current knowledge in nursing care and management of a caseload of patients of varying complexity and seeks to improve patient, family and health systems / community outcomes through the application of educational concepts / skills and preventive care in a managed care environment.
• Assesses internal and external referrals to identify patient/significant others’ needs, level of intensity, insurance benefits and other patient resources.
• Develops plan of care and makes recommendations to PCPs, specialists and other members of the health care team regarding care management strategies, identifying strategies to maximize continuity of care across the continuum.
• Assesses the educational needs of patients, families and members of the health care team and develops and implements appropriate teaching strategies or makes appropriate referrals.
• Communicates and collaborates with patient/significant others/providers/payers to coordinate services that improve access to appropriate services across the continuum of care and which promotes optimal health in a cost-effective manner.
• Measures patient care outcomes, interprets reports and analyzes data trends for groups of patients.
• Documents patient data, plan, interventions and outcomes according to department guidelines.

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance, pet insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level