RN-Case Manager

SmartRecruiters, Inc.; Southfield (MI); On-site; USD 70,000 - 100,000; Full time

Job summary

Henry Ford Health is seeking a dedicated Case Manager to join our patient-centered care teams. You will lead identification, assessment, planning, facilitation, care coordination, evaluation, and advocacy to meet patients' health needs while ensuring safe transitions and cost-effective care solutions.

You will collaborate with internal and external stakeholders, applying CMS guidelines and social determinants of health to deliver person-centered care that improves outcomes and supports families

Qualifications

• Bachelor's degree in Nursing or Master's degree in Social Work.
• Minimum three (3) years of clinical experience.
• Excellent customer service and interpersonal skills with the ability to interact with internal and external customers at all organizational levels.
• Strong problem-solving, analytical, and decision-making skills.
• Strong computer skills and technical knowledge.
• Knowledge of Medicare and Medicaid regulations and case management principles.
• Knowledge of social determinants of health and their impact on patient wellbeing.

Responsibilities

• Coordinate discharge planning to ensure safe transitions to next level of care (home health, rehab, or community services).
• Identify, assess, plan, facilitate, and advocate for patient care needs across the care continuum.
• Collaborate with internal and external stakeholders to manage complex patient cases.
• Apply case management principles and clinical guidelines to improve health outcomes.
• Navigate healthcare systems to connect patients with community resources.

Skills

Customer service

Interpersonal skills

Problem-solving

Analytical skills

Decision-making

Computer skills

Education

Bachelor's degree in Nursing or Master's degree in Social Work

Minimum 3 years of clinical experience

Job description

At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve.

Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact.

Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all.

Job Description

GENERAL SUMMARY: The Case Manager is a member of the hospital or specialty-based patient-centered care team or treatment team responsible for the collaborative practices of identification, assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual's and family's health care needs.

In this role, you'll make a real difference by championing patient safety and quality outcomes while driving cost-effective care solutions. You'll conduct comprehensive assessments to identify patient and family needs, then develop and implement strategic care plans that optimize health outcomes across the entire care continuum. Your expertise in discharge planning will ensure safe, seamless transitions to the next level of care—whether that's home health, rehabilitation, or community-based services. You'll serve as a trusted advocate, navigating complex healthcare systems and connecting patients with critical resources while addressing social determinants of health that impact their wellbeing. Collaborating with internal and external stakeholders, you'll manage multiple complex patient cases simultaneously, using strong problem-solving and analytical skills to overcome barriers and facilitate positive health outcomes. Your compassionate approach, combined with your knowledge of Medicare and Medicaid regulations, clinical practice guidelines, and case management principles, will enable you to deliver person-centered care that truly transforms lives.

Qualifications

**QUALIFICATIONS**

**Education/Experience Required:**

• Bachelor's degree in Nursing or Master's degree in Social Work
• Minimum three (3) years of clinical experience
• Excellent customer service and interpersonal skills with the ability to interact with internal and external customers at all organizational levels
• Strong problem-solving, analytical, and decision-making skills
• Strong computer skills and technical knowledge
• Knowledge of preventive service guidelines, clinical practice guidelines, and behavior change theory
• Knowledge of 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 patient wellbeing
• Ability to facilitate community resources to meet the needs of diverse populations
• Strong organizational, planning, and implementation skills with the ability to manage multiple complex patients' needs simultaneously
• Strong sense of compassion with the ability to successfully advocate for patients and their families

**Experience Preferred:**

• Experience in discharge planning, home health care, rehabilitative medicine, or managed care

**Certifications/Licenses Required:**

• Registered Nurse (RN) license or Licensed Master Social Worker (LMSW) with a valid, unrestricted State of Michigan license

**Certifications Preferred:**

• Certification in Case Management (CCM) by the Commission for Case Management Certification (CCMC)
• Accredited Case Manager (ACM) by the American Case Management Association