RN Case Manager — SNP Care Coordination & Advocacy

Health Alliance Plan; Troy (MI); On-site; USD 60,000 - 80,000; Full time

Job summary

A healthcare organization in Michigan is seeking a Case Manager for their Special Needs Plan (SNP). The role involves assessing member needs, developing care plans, and advocating for members to access appropriate healthcare resources. Candidates should have a background in nursing or health services related fields and experience with special needs populations. This position offers the opportunity to make a significant impact on member outcomes and requires current Michigan Registered Nursing Licensure.

Qualifications

• Previous experience with special needs plan population preferred.
• Bachelor’s degree in nursing or health services related field preferred.
• Minimum of three (3) years of relevant clinical experience in the medical inpatient or ambulatory setting or specialty experience required.
• Experience in medical case management, discharge planning, home health care, rehabilitative medicine, community health, managed care/health insurance preferred.

Responsibilities

• Facilitate access of healthcare services for SNP eligible members.
• Provide liaison services to SNP members and providers.
• Conduct assessments of member’s needs including health conditions and screenings.
• Collaborate with external health teams to optimize member outcomes.
• Attend and actively participate in the SNP member advisory committee.
• Develop, implement, monitor, and modify plan of care through an interdisciplinary team.
• Advocate for the member throughout episodes of care.
• Facilitates referrals for additional medical services as needed.
• Maintain electronic medical records for continuity of care.

Job description

A healthcare organization in Michigan is seeking a Case Manager for their Special Needs Plan (SNP). The role involves assessing member needs, developing care plans, and advocating for members to access appropriate healthcare resources. Candidates should have a background in nursing or health services related fields and experience with special needs populations. This position offers the opportunity to make a significant impact on member outcomes and requires current Michigan Registered Nursing Licensure.