RN Care Manager Grand Haven Care Center
About The Position
The RN Care Manager plans and prioritizes care for individual patients and patient populations, using strategies that promote optimal health. The role applies current nursing knowledge and care-management expertise to manage patients with varying levels of complexity and improve outcomes for patients, families, and the health system and community through education and preventive care in a managed-care environment. The RN Care Manager assesses referrals, identifies patient and significant-other needs, determines care intensity, and reviews insurance benefits and other resources. The role develops plans of care and recommends care-management strategies to primary care providers, specialists, and other healthcare team members, with an emphasis on continuity across the care continuum. It also assesses educational needs and provides or arranges appropriate teaching, coordinates services with patients, providers, and payers, evaluates outcomes and data trends, and documents patient information, plans, interventions, and outcomes according to department guidelines.
Requirements
- Bachelor's degree or equivalent in nursing or a healthcare-related field, except as specified for Corewell Health Ludington.
- For those starting in this RN role at Corewell Health Ludington Hospital on or after January 1, 2017, a BSN must be obtained within seven years.
- At least 2 years of relevant experience in clinical nursing, case management/managed care, or a related field (required experience listing).
- At least 5 years of relevant experience in clinical nursing, case management/managed care, or a related field (also listed as required).
- Registered Nurse (RN) license in the State of Michigan, required upon hire.
- Basic Life Support (BLS) certification from the American Heart Association or American Red Cross, required upon hire.
Nice To Haves
- Certified Case Manager (CCM) credential from the Commission for Case Manager Certification, preferred upon hire.
Responsibilities
- Plan and prioritize care for individual patients and patient populations to promote optimal health.
- Manage a caseload of patients with varying levels of complexity using current nursing and care-management knowledge.
- Assess referrals to identify patient and significant-other needs, level of care intensity, insurance benefits, and available resources.
- Develop plans of care and recommend care-management strategies to primary care providers, specialists, and other healthcare team members.
- Identify strategies to maximize continuity of care across the care continuum.
- Assess educational needs of patients, families, and healthcare team members; develop and deliver teaching strategies or make appropriate referrals.
- Coordinate services with patients, significant others, providers, and payers to improve access to appropriate, cost-effective care across the continuum.
- Measure patient-care outcomes, interpret reports, and analyze trends among patient groups.
- Document patient data, plans, interventions, and outcomes according to department guidelines.
Benefits
- Comprehensive benefits package intended to support financial, health, and work/life balance goals.
- On-demand pay program powered by Payactiv.
- Discounts directory with deals on restaurants, phone plans, spas, and other offerings.
- Optional identity theft protection, home insurance, and auto insurance.
- Traditional and Roth retirement options with service contribution and matching savings.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
