Registered Nurse

CTC; Michigan; Remote; USD 65,000 - 90,000; Full time

Job summary

CTC seeks a Field Care Manager Nurse 2 based in Michigan, traveling 75% to Wayne or Macomb counties to conduct in-home visits for Medicare/Medicaid members. The role focuses on managing physical, environmental, and psycho-social health issues with an interdisciplinary team.

You will develop care plans, coordinate with ICT, and ensure access to community resources, aiming for optimal member outcomes. This is a full-time position with local travel.

Qualifications

• Active Michigan RN license with no disciplinary action.
• Must reside in Michigan.
• Ability to travel to homes and community settings for face-to-face assessments.
• Experience with adult population and disease management.
• Knowledge of community health and social service resources.
• Excellent communication and interpersonal skills.
• Ability to work with minimal supervision.
• Full-time 40 hours per week (Mon-Fri).
• Valid driver's license, car insurance, and access to an automobile.

Responsibilities

• Provide clinical support and guidance for members with medical complexity and coordinate care plans.
• Address barriers to health care and advocate for optimal member outcomes.
• Review, assess, and complete medical complexity attestations and clinical oversights.
• Ensure services are delivered in least restrictive settings to meet well-being goals.
• Develop and modify Individual Care Plans with care team involvement.
• Support members and caregivers using an interdisciplinary approach to access services.
• Serve as primary contact for the Interdisciplinary Care Team (ICT).
• Coordinate with ICT and external resources to meet member needs.

Skills

Communication

Rapport building

Interdisciplinary collaboration

Time management

Patient advocacy

Travel readiness

EMR proficiency

Education

Active Michigan RN/NP/CNS license

Tools

EMR systems

Job description

Must reside in Michigan with the ability to drive to Wayne or Macomb Counties.

This position will be based from a home office and will travel 75% of the time, to an assigned area in Wayne or Macomb county, to conduct in home visits with Medicare/Medicaid members.

The Field Care Manager Nurse 2 employs a variety of strategies, approaches, and techniques to manage a member's physical ,environmental, and psycho-social health issues.

Locations

• Independence Township, MI

Position Responsibilities

• Provides clinical support and guidance, particularly for members with medical complexity. Help develop and coordinate care plans ensuring that patients receive appropriate services to manage their health needs effectively
• Addressing barriers to health care and advocating for optimal member outcomes.
• Will review, assess, and complete medical complexity attestations and clinical oversights.
• Ensures members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
• Develops and modify Individual Care Plan and involve applicable members of the care team in care planning (Informal
• Focuses on supporting members and/or caregivers utilizing an interdisciplinary approach in accessing social, housing educational and other services, regardless of funding sources to meet their needs.
• Primary point of contact for the Interdisciplinary Care Team (ICT) and shall be responsible for coordinating with the member,
• ICT participants, and outside resources to ensure the member’s needs are met.

Required Qualifications

• Registered Nurse, Nurse Practitioner, or Clinical Nurse Specialist with a minimum of 2 years’ experience in health care and/or case management
• Active Michigan Registered Nurse (RN) license with no disciplinary action
• Must reside in the state of Michigan
• Ability to travel to homes and community settings for face-to-face assessments
• Experience working with the adult population, disease management.
• Knowledge of community health and social service agencies and additional community resources
• Exceptional communication and interpersonal skills with the ability to quickly build rapport
• Ability to work with minimal supervision within the role and scope
• Ability to use a variety of electronic information applications & software programs including electronic medical records
• Ability to work full-time (40 hours minimum) Mon-Fri
• This role is a part of Driver Safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits.
• Must have Valid driver's license, car insurance, and access to an automobile.