Coordinator Care Registered Nurse - Quality Management / Behavioral Health

McLaren Health Care; Flint (MI); On-site; USD 85,000 - 120,000; Full time

Job summary

McLaren Health Care is seeking an RN Care Manager for Quality Management / Behavioral Health. The role involves coordinating patient care, integrating guidelines, and applying population health strategies to reduce hospitalizations and ER visits.

Responsibilities include telephonic and in-person assessments within an interdisciplinary team, targeting high-risk populations, and developing patient-centric care plans while adhering to evidence-based guidelines.

Qualifications

• RN with a valid unrestricted Michigan license.
• Three (3) years clinical nursing experience serving chronically ill patients.
• Understanding of Population Health Management and industry trends.
• Familiar with initiatives of managed care health plans.
• Provision of health services in a culturally competent manner.
• Problem solving and critical thinking skills.
• Ability to work in self-directed environment and with team.
• Reliable transportation, valid driver’s license, and minimum state required liability auto insurance.

Responsibilities

• Provides telephonic and face-to-face comprehensive assessment and care management services to patients as part of an interdisciplinary team.
• Uses multi-dimensional assessment skills, risk assessment and screening tools to target high risk and vulnerable populations.
• Assesses over time the health care, educational, and psychosocial needs of the patient/caregiver.Uses standardized assessment tools such as depression screening, functionality, and health risk assessment.

Skills

RN license

3 years nursing

Population Health

Managed care knowledge

Cultural competence

Problem solving

Self-directed work

Reliable transportation

Education

BSN

Job description

The McLaren system includes 12 hospitals across the state, ambulatory surgery centers, imaging centers, a 730-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 242,000 Michigan lives, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network, and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer center. McLaren has 20,000 full-, part-time and contracted employees and more than 93,000 network providers throughout Michigan.

Coordinator Care Registered Nurse - Quality Management / Behavioral Health

Department: Quality Management / Behavioral Health

Shift: Days

Daily Work Times: 8:00am - 4:30pm

Scheduled Biweekly Hours: 80

Position Summary:

As an advocate for the patient, the RN care manager will assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet an individual’s health needs, using clinical and community resources to promote quality, cost effective outcomes. Integrates evidenced based clinical guidelines, preventive guidelines, and protocols, in the development of individualized care plans that are patient centric. Provides targeted interventions to avoid hospitalization and emergency room visits.

Essential Functions and Responsibilities:

• Provides telephonic and face-to-face comprehensive assessment and care management services to patients as part of an interdisciplinary team.
• Uses multi-dimensional assessment skills, risk assessment and screening tools to target high risk and vulnerable populations.
• Assesses over time the health care, educational, and psychosocial needs of the patient/caregiver.Uses standardized assessment tools such as depression screening, functionality, and health risk assessment.

Required:

• RN with a valid unrestricted Michigan license
• Three (3) years clinical nursing experience serving chronically ill patients and extensive knowledge of issues associated with chronic care and geriatrics.
• Understanding of Population Health Management and industry trends
• Familiar with initiatives of managed care health plans.
• Provision of health services in a culturally competent manner
• Problem solving and critical thinking skills
• Ability to work in self-directed environment and with team
• Reliable transportation, valid driver’s license, and minimum state required liability auto insurance.

Preferred:

• RN, BSN
• Three (3) years experience in a health plan or Physician Organization environment with care coordination, care management, and/or population health.
• Telephonic care management experience
• Home care and/or hospice experience
• Complex Care Management course completion or CCM

Additional Information

• Schedule: Full-time
• Daily Work Times: 8:00am - 4:30pm
• On Call: No

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.

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McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employmentwithout regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status,national origin, disability, genetic information, height or weight, protected veteran or other classificationprotected by law.