RN Care Manager

Corewell Health • Grand Rapids, MI

5d • Onsite

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 caseload management expertise to patients with varying levels of complexity, with the goal of improving outcomes for patients, families, health systems, and communities through education and preventive care in a managed care environment.

The position assesses referrals and patient needs, develops care plans and recommendations, supports education, and collaborates with patients, providers, payers, and other care team members to coordinate services across the continuum of care. It also measures and analyzes patient outcomes 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.
• For those who start in this RN role on or after January 1, 2017, a BSN must be obtained within 7 years for Corewell Health Hospitals.
• 2 years of relevant experience in clinical nursing, case management/managed care, or a related field.
• 5 years of relevant experience in clinical nursing, case management/managed care, or a related field.
• Registered Nurse (RN) license in the State of Michigan, required upon hire.

Nice To Haves

• Certified Case Manager (CCM), Commission for Case Manager Certification (CCMC), 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.
• Assess internal and external referrals to identify patient and significant others’ needs, level of intensity, insurance benefits, and other 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 continuum.
• Assess educational needs of patients, families, and healthcare team members; develop and implement teaching strategies or make appropriate referrals.
• Communicate and collaborate with patients, significant others, providers, and payers to coordinate access to appropriate, cost-effective services.
• Measure patient care outcomes, interpret reports, and analyze data trends for patient groups.
• Document patient data, plans, interventions, and outcomes according to department guidelines.

Benefits

• Comprehensive benefits package 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.

What This Job Offers

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