Strategic Staffing Solutions · 2 days ago
Case Manager (remote anywhere in Michigan)
Strategic Staffing Solutions is seeking a Case Manager RN to lead the coordination of a multidisciplinary team in delivering person-centric care management to a diverse health plan population. The role involves assessing, developing, implementing, and monitoring care plans to optimize member health outcomes.
Responsibilities
Lead the coordination of a regionally aligned, multidisciplinary team to provide holistic care to meet member needs telephonic and/or digitally
Use the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the members’ health across the care continuum
Assess the member's health, psychosocial needs, cultural preferences, and support systems
Engage the member and/or caregiver to develop an individualized plan of care, address barriers, identify gaps in care, and promotes improved overall health outcomes
Arrange resources necessary to meet identified needs (e.g., community resources, mental health services, substance abuse services, financial support services and disease-specific services)
Coordinate care delivery and support among member support systems, including providers, community-based agencies, and family
Advocate for members and promote self-advocacy
Deliver education to include health literacy, self-management skills, medication plans, and nutrition
Monitor and evaluate effectiveness of the care management plan, assess adherence to care plan to ensure progress to goals and adjust and reevaluate as necessary
Accurately document interactions that support management of the member
Prepare the member and/or caregiver for discharge from a facility to home or for transfer to another healthcare facility to support continuity of care
Educate the member and/or caregiver about post-transition care and needed follow-up, summarizing what happened during an episode of care
Secure durable medical equipment and transportation services and communicate this to the member and/or caregiver and to key individuals at the receiving facility or home care agency
Adhere to professional standards as outlined by protocols, rules and guidelines meeting quality and production goals
Continue professional development by completing relevant continuing education and maintaining Certified Case Manager (CCM)
Qualification
Required
Nursing Diploma or Associates degree in nursing required
3 years of clinical nursing experience in a clinical, acute/post-acute care, and community setting required
Current, active, and unrestricted Michigan Registered Nurse license required
Certification in Case Management (CCM) required or to be obtained within 18 months of hire
Preferred
Bachelor's degree in nursing strongly preferred
1 year of case management experience in a managed care setting strongly preferred
Experience managing patients telephonically and via digital channels (mobile applications and messaging) preferred
Certification in Chronic Care Professional (CCP) preferred
Benefits
Benefits available
Company
Strategic Staffing Solutions
Strategic Staffing Solutions is a recruiting company which helps companies find suitable employees in various industries.
Funding
Current Stage
Late StageRecent News
DBusiness Magazine
2025-05-01
Crain's Detroit Business
2025-02-03
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