Outpatient RN Care Manager for High-Risk Members

Trinity Health MI; Ann Arbor (MI); On-site; USD 68,000 - 90,000; Full time

Job summary

The RN Care Manager at Trinity Health MI in Michigan conducts assessments, creates care plans, coordinates interventions, and monitors outcomes for High Risk members. Working with the care team and physicians, you ensure appropriate outpatient care to minimize readmissions and address medical, environmental, and psychosocial needs across the continuum.

The role is full-time, day shift, onsite with direct primary care team collaboration and clear opportunities for advancement within professional

Qualifications

• Graduation from an accredited BSN Program.
• Current Michigan RN license, CPR certification, valid Michigan Driver’s license.
• Three years acute care or case management experience.
• Preferred: Two years of utilization or HMO experience.
• Fast paced environment, managing multiple tasks and patients at the same time while showing respect and courtesy to each individual.
• Possible exposure to infectious disease, hazardous chemical, and blood and body fluid.
• Ability to work flexible schedules.

Responsibilities

• Keeps member/family members or other customers informed and requests further assistance when needed.
• Demonstrates ability to follow through with requests, sharing of critical information, and getting back to individuals in a timely manner.
• Functions as liaison between administration, members, physicians and other healthcare providers.
• Interacts professionally with member/family/physicians and involves member/family/physicians in formation of the plan of care.
• Performs a Health Risk Assessment (HRA) of the member and determines an acuity score for necessary scheduled follow-up.
• Develops an outcome-based plan of care, based on the member’s input and assessed member needs. Implements and evaluates the plan of care as often as needed as evidenced by documentation in the member’s case file.
• Documents member assessment and reassessment, member care plans, and other pertinent information completed in the member’s medical record in accordance with Trinity Health Alliance of Michigan charting methodology, nursing standards, and company policies and procedures.
• Maintains standard workflow to meet NCQA standards alignment and manages patient caseload to meet annual contract patient care goals.

Skills

RN license (MI)

CPR certification

Driver's license (MI)

Acute care/case mgmt exp

Utilization/HMO exp

Flexible schedule

Education

BSN

Job description

The RN Care Manager at Trinity Health MI in Michigan conducts assessments, creates care plans, coordinates interventions, and monitors outcomes for High Risk members. Working with the care team and physicians, you ensure appropriate outpatient care to minimize readmissions and address medical, environmental, and psychosocial needs across the continuum.

The role is full-time, day shift, onsite with direct primary care team collaboration and clear opportunities for advancement within professional