RN Care Manager

Corewell Health; Niles (OH); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Comprehensive benefits package

On-demand pay (Payactiv)

Discounts directory

Identity theft protection

Retirement options (Traditional & Roth

Job summary

Corewell Health South – Lakeland Hospitals in Niles seeks a dedicated Registered Nurse Case Manager to coordinate care for diverse patient populations and partner with PCPs and specialists to optimize outcomes.

The role emphasizes care planning, patient and family education, outcome measurement, and interprofessional collaboration in a managed care setting, with a daytime schedule (8 a.m. – 5 p.m.), 40-hour weeks, and comprehensive benefits.

Qualifications

• Bachelor’s Degree or equivalent nursing or a healthcare related field.
• 2 years of relevant experience in clinical nursing and/or case management/managed care or related field.
• Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire
• Basic Life Support (BLS) - AHA American Heart Association or ARC Upon Hire
• Case Manager, Certified (CCM) - CCMC Commission for Case Manager Certification Upon Hire
• 5 years of relevant experience in clinical nursing and/or case management/managed care or related field (preferred)

Responsibilities

• Assesses internal and external referrals to identify patient needs, level of intensity, insurance benefits and resources.
• Develops plan of care and makes recommendations to PCPs and specialists for care management considering continuity of care.
• Assesses educational needs of patients and families and develops appropriate teaching strategies or referrals.
• Coordinates services with providers/payers to improve access to required services and promote cost-effective care.
• Measures patient care outcomes and analyzes data trends for groups of patients.
• Documents patient data, plan, interventions and outcomes per department guidelines.

Education

Bachelor’s Degree or equivalent nursing or a healthcare related field

BLS Certification

RN license - Michigan

CCM Certification (preferred)

Job description

About Corewell Health South – Lakeland Hospitals

The health system comprises threehospitals, an outpatient surgery center, a regional cancer center, rehabilitation centers, two long-term care residences, home care and hospice services, and 34 affiliate physician practice locations. We provide both inpatient and outpatientmedical servicesthroughout Southwest Michigan.

Scope of Work

Plans and prioritizes care for individuals and population of patients, focusing on strategies that will promote optimal health within populations. Demonstrates expertise, current knowledge in nursing care and management of a caseload of patients of varying complexity and seeks to improve patient, family and health systems/community outcomes through the application of educational concepts/skills and preventive care in a managed care environment.

Essential Functions

• Assesses internal and external referrals to identify patient/significant others’ needs, level of intensity, insurance benefits and other patient resources.
• Develops plan of care and makes recommendations to PCPs, specialists and other members of the health care team regarding care management strategies, identifying strategies to maximize continuity of care across the continuum.
• Assesses the educational needs of patients, families and members of the health care team and develops and implements appropriate teaching strategies or makes appropriate referrals.
• Communicates and collaborates with patient/significant others/providers/payers to coordinate services that improve access to appropriate services across the continuum of care and which promotes optimal health in a cost-effective manner.
• Measures patient care outcomes, interprets reports and analyzes data trends for groups of patients.
• Documents patient data, plan, interventions and outcomes according to department guidelines.

Qualifications

Required

• Bachelor’s Degree or equivalent nursing or a healthcare related field
• 2 years of relevant experience clinical nursing and or case management/managed care or related field
• Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire
• Basic Life Support (BLS) - AHA American Heart Association or ARC American Red Cross Upon Hire

Preferred

• Case Manager, Certified (CCM) - CCMC Commission for Case Manager Certification Upon Hire
• 5 years of relevant experience clinical nursing and or case management/managed care or related field

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Longmeadow Medical Suites - 4 Longmeadow Village Dr - Niles

Department Name

Primary Care Longmeadow - Medical Group South

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8 a.m. to 5 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.