RN Care Manager Transitions of Care Coordination

Scope of Work:

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.

Qualifications:

• Required Bachelor's Degree or equivalent nursing or a healthcare related field (all departments except Corewell Health Ludington) BSN must be obtained within 7 years for those who start in this RN role on or after January 1, 2017 (Corewell Health Ludington Hospital)

• 2 years of relevant experience clinical nursing and or case management/managed care or related field Required

• 5 years of relevant experience clinical nursing and or case management/managed care or related field Preferred

• Registered Nurse (RN) - State of Michigan Upon Hire required

• Case Manager, Certified (CCM) - CCMC Commission for Case Manager Certification Upon Hire preferred

• Basic Life Support (BLS) - AHA American Heart Association Upon Hire required Or

• Basic Life Support (BLS) - ARC American Red Cross Upon Hire required

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here .

• 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

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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.