Case Manager- Populance

Net2Source Inc.; Troy (MI); Remote; USD 60,000 - 80,000; Full time

Job summary

Net2Source Inc. is looking for a Remote Case Manager for a contractual position lasting 13 weeks. The candidate will support an ambulatory case management team and be responsible for enrollment and billing services. An ideal applicant has a Bachelor's degree in Nursing or related fields, at least 3-5 years of telephonic case management experience, and must be a Registered Nurse or Licensed Social Worker with valid Michigan licensure.

Qualifications

• 3-5 years' experience in telephonic case management required.
• Registered Nurse (RN) or Licensed Social Worker (LMSW) with State of Michigan license.
• Certification in Case Management (CCM) required within 3 years of hire.

Responsibilities

• Support ambulatory case management team by enrolling patients.
• Allocate billing codes to services.
• Collaborate for assessment, planning, and care coordination.

Skills

Verbal communication

Written documentation skills

Customer service

Problem-solving

Analytical skills

Decision-making skills

Strong computer skills

Knowledge of preventive service guidelines

Knowledge of medical ethics

Strong organizational skills

Education

Bachelor's degree in nursing or related field

Master's degree in Social Work

Tools

Epic's Compass Rose system

Job description

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This range is provided by Net2Source Inc.. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$1.00/hr - $39.00/hr

Title: Case Manager- Populance

Location: Troy, MI 48083 (100% Remote)

Duration: 13 weeks contract (Strong possibility of extension)

Shift: Monday-Friday 8a-5p, 40 hrs. guarantee

Pay range: $33 - $39/ hr. DOE

Requirements

• Candidate will be supporting ambulatory case management team by enrolling patients into case management services and allocating billing codes to services.
• Candidates must have 3-5 years' experience in telephonic case management.
• Inpatient case management experience will not apply.
• Candidates must complete billing/coding training with Red Cross within 6 months of start of position - will be provided. If candidate has already completed this training with Red Cross, they will not need to be local.
• Candidates must be a Registered Nurse (RN) or a Licensed Social Worker (LMSW) with a valid, unrestricted State of Michigan license.
• Will be using Epic's Compass Rose system for charting.
  
  

General Summary

• The Populance Case Manager is an interdependent member of the patient-centered care team responsible for the collaborative practice of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual’s and family’s comprehensive health care needs though communication and available resources to promote patient safety, quality of care and cost-effective outcomes.
• The Case Manager addresses the needs of patients who have experienced a critical event or diagnosis that requires complex management strategies and/or the extensive use of resources to optimize health outcomes along the care continuum.
  
  

Skills:

• Excellent verbal communication and written documentation skills.
• Excellent customer service and interpersonal skills including the ability to interact with internal and external customers and all levels of the organization.
• Strong problem-solving, analytical, and decision-making skills. Strong computer skills and knowledge.
• Experience in discharge planning, home health care, rehabilitative medicine, community health or managed care preferred.
• Knowledge of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles.
• Knowledge of medical ethics and legal implications related to case management.
• Understanding of social determinants of health and their impact on a patient’s wellbeing.
• Well versed in facilitating community resources to meet the needs of diverse populations.
• Strong organizational, planning and implementation skills with the ability to handle multiple complex patients’ needs simultaneously.
• Strong sense of compassion with the ability to successfully advocate for patients and their families. Ability to travel to meet with patients/members as needed in a variety of care settings (specialty appointments, hospital, skilled nursing facilities, etc.)
• Must meet or exceed core customer service responsibilities, standards and behaviors as outlined in the Customer Service Policy and summarized below: Communication, Ownership, Understanding, Motivation, Sensitivity, Excellence, Teamwork, Respect.
• Must practice the customer skills as provided through on-going training and in-services.
• Must possess the following personal qualities: Be self-directed, Be flexible and committed to the team concept, Demonstrate teamwork, initiative and willingness to learn, Be open to new learning experiences, Accepts and respects diversity without judgment, Demonstrates customer service values.
• PHYSICAL DEMANDS/WORKING CONDITIONS: Normal office environment with minimal exposure to noise, dust, or extreme temperatures.
  
  

Education:

• Bachelor’s degree in nursing or related professional field (i.e., social work, counseling, health education, etc.) or a Master’s degree of Social Work, required.
• Minimum (3) three years of clinical experience, required.
• Registered Nurse (RN) or a Licensed Social Worker (LMSW) with a valid, unrestricted State of Michigan license, required.
• Certification in Case Management (CCM) by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association. Required within 3 years of hire.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Contract

Job function

• Job function

  Other

• Industries

  Staffing and Recruiting

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