Case Management Nurse

LanceSoft, Inc.; Michigan; On-site; USD 70,000 - 90,000; Full time

Job summary

LanceSoft, Inc. is seeking a Care Manager RN to lead a team in delivering a person-centered care management program. The role involves serving as the main contact for members and providers, assessing and implementing care plans to optimize health outcomes.

Candidates must have a nursing diploma, experience in clinical and case management settings, and a valid Michigan RN license. The position offers a critical role in enhancing patient care in a diverse health plan population.

Qualifications

• 3 years of clinical nursing experience in clinical, acute/post-acute, and community settings.
• 1 year of case management experience in a managed care setting preferred.
• Current Michigan Registered Nurse license required.

Responsibilities

• Lead coordination of a multidisciplinary care management program.
• Serve as a single point of contact for members, caregivers, and providers.
• Assess, develop, implement, monitor, and evaluate care plans.

Skills

Communication skills

Case management

Telephonic patient management

Education

Nursing Diploma or Associates degree in nursing

Bachelor’s degree in nursing

Certification in Case Management (CCM)

Job description

• The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social needs.
• They serve as the single point of contact for members, caregivers, and providers using a variety of communication channels including phone calls, emails, text messages and the online messaging platform.
• The Care Manager RN uses the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the members health across the care continuum.
• They work in partnership with the member, providers of care and community resources to develop and implement the plan of care and achieve stated goals.

Education and Experience

• Nursing Diploma or Associates degree in nursing required.
• Bachelor’s degree in nursing strongly preferred.
• 3 years of clinical nursing experience in a clinical, acute/post-acute care, and community setting required.
• 1 year of case management experience in a managed care setting strongly preferred.
• Experience managing patients telephonically and via digital channels (mobile applications and messaging) preferred.
• Current, active, and unrestricted Michigan Registered Nurse license required
• Certification in Case Management (CCM) required or to be obtained within 18 months of hire
• Certification in Chronic Care Professional (CCP) preferred