Care Manager (RN) Remote (Detroit, MI)

IntelliResume; Michigan; Remote; USD 36,000 - 70,000; Full time

Job summary

IntelliResume is seeking a Care Manager (RN) in Detroit, MI to support Medicaid members with complex needs through telephonic outreach, assessments, and care plan development. This full-time, day-shift role emphasizes collaboration with behavioral health and community resources.

Requirements include an active RN license, 2+ years in healthcare, and a valid driver's license. EMR familiarity and HIPAA knowledge are essential for success in this role.

Qualifications

• Active RN license in state, unrestricted.
• At least 2 years in healthcare, care management or behavioral health.
• Valid driver's license required.
• Understanding of EMR and HIPAA compliance.

Responsibilities

• Complete comprehensive assessments of members per timelines.
• Develop and implement care coordination plans with members and providers.
• Conduct telephonic, face-to-face, or home visits as needed.
• Monitor care plans to evaluate effectiveness over time.
• Maintain ongoing member caseload with regular outreach.
• Promote integration of services, including behavioral health and community resources.
• Facilitate interdisciplinary care team meetings and collaboration.
• Use motivational interviewing to educate and support members.
• Assess barriers to care and provide coordination assistance.
• May conduct medication reconciliation as needed.

Skills

Care coordination

Telephonic outreach

Motivational interviewing

EMR/HIPAA knowledge

Education

RN License (Active)

Tools

EMR Systems

Job description

About This Role

The Care Manager (RN) will support Michigan Medicaid members with complex medical needs through telephonic outreach, health assessments, and care plan development. This role is ideal for those with experience in case management or behavioral health settings.

Highlights

• Pay: $26.41 - $51.49/hour
• Location: Detroit, MI
• Schedule: Full Time, Day shift (Monday through Friday 8:30AM to 5:00PM EST)

What You'll Do

• Complete comprehensive assessments of members per regulated timelines.
• Develop and implement care coordination plans with members and healthcare professionals.
• Conduct telephonic, face-to-face, or home visits as required.
• Perform ongoing monitoring of care plans to evaluate effectiveness.
• Maintain ongoing member caseload for regular outreach and management.
• Promote integration of services for members, including behavioral health and community resources.
• Facilitate interdisciplinary care team meetings and collaboration.
• Use motivation interviewing to educate and support members.
• Assess for barriers to care and provide coordination assistance.
• May conduct medication reconciliation as needed.

Requirements

• Education:
  • Registered Nurse (RN) License must be active and unrestricted in state of practice.
• Experience:
  • At least 2 years experience in healthcare, preferably in care management or a medical/behavioral health setting.
• Licenses & Certifications:
  • Valid and unrestricted driver's license.
  • Understanding of electronic medical records (EMR) and HIPAA.

About Molina Healthcare

Molina Healthcare is a leading healthcare provider committed to delivering exceptional patient care. They focus on providing quality and cost-effective member care through a collaborative approach.