Case Management Nurse

w3r Consulting; Detroit (MI); On-site; USD 70,000 - 90,000; Full time

Job summary

w3r Consulting is looking for a Case Manager RN for Blue Cross Blue Shield of Michigan. As the primary contact for members, you will coordinate care among various healthcare professionals, assess member needs, and develop individualized care plans. Candidates should have a nursing diploma or associate degree, at least 3 years of clinical nursing experience, and an active RN license. Strong communication and Microsoft Office skills are required. Position is based in Detroit, Michigan and offers a 12-month contract.

Qualifications

• Nursing Diploma or Associate Degree in Nursing (BSN preferred).
• Minimum 3 years of clinical nursing experience (acute/post-acute/community setting).
• Active, unrestricted Multistate Compact RN license.
• Strong communication, organizational, and critical thinking skills.
• Proficiency with Microsoft Office tools.

Responsibilities

• Coordinate care across a multidisciplinary team including social workers, dietitians, pharmacists, and medical directors.
• Assess members’ clinical, psychosocial, and support needs.
• Develop, implement, and monitor individualized care plans.
• Identify care gaps, address barriers, and improve health outcomes.
• Connect members with community and healthcare resources.
• Provide education on self-management, medications, and overall health.
• Support care transitions and ensure continuity of care.
• Document all interactions accurately and maintain compliance with guidelines.

Job description

Client: Blue Cross Blue Shield of Michigan

Duration: 12-month contract

Role Overview

As a Case Manager RN, you will lead the coordination of a multidisciplinary team to deliver holistic, person-centered care for a diverse member population. You will serve as the primary point of contact for members, caregivers, and providers, using phone, email, and digital platforms to manage and support care plans.

Key Responsibilities

• Coordinate care across a multidisciplinary team including social workers, dietitians, pharmacists, and medical directors
• Assess members’ clinical, psychosocial, and support needs
• Develop, implement, and monitor individualized care plans
• Identify care gaps, address barriers, and improve health outcomes
• Connect members with community and healthcare resources
• Provide education on self-management, medications, and overall health
• Support care transitions and ensure continuity of care
• Document all interactions accurately and maintain compliance with guidelines

Required Qualifications

• Nursing Diploma or Associate Degree in Nursing (BSN preferred)
• Minimum 3 years of clinical nursing experience (acute/post-acute/community setting)
• Active, unrestricted Multistate Compact RN license
• Strong communication, organizational, and critical thinking skills
• Proficiency with Microsoft Office tools

Preferred

• Case management experience in a managed care setting
• Experience with telephonic or digital patient management