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    Nurse Case Manager II - (Wayne and Macomb Counties)

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    $40 - $44.14

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    Nurse Case Manager II - (Wayne and Macomb Counties)

    arrows left right solid Hybrid briefcase Contract/Temp
    Wayne and Macomb, MI, 48201 40 - 44.14 Today 15125995

    Description

    Job Title
    Nurse Case Manager 2

    Location
    Wayne and Macomb Counties

    Position Description
    The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license.

    Roles Responsibilities
    • Conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services
    • Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits
    • Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

    Skills
    • 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required
    • Healthcare and/or managed care industry experience
    • Case Management experience preferred
    • Proficiency with computer skills which includes navigating multiple systems and keyboarding
    • Effective communication skills, both verbal and written
    • Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
    • Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer
    • Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor
    • Typical office working environment with productivity and quality expectations

    Education
    • RN with current unrestricted state licensure for MI
    • Case Management Certification CCM preferred
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    Nurse Case Manager II - (Wayne and Macomb Counties)

    building regular Hybrid briefcase Contract/Temp
    Wayne and Macomb, MI, 48201 40 - 44.14 Today 15125995

    Description

    Job Title
    Nurse Case Manager 2

    Location
    Wayne and Macomb Counties

    Position Description
    The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license.

    Roles Responsibilities
    • Conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services
    • Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits
    • Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

    Skills
    • 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required
    • Healthcare and/or managed care industry experience
    • Case Management experience preferred
    • Proficiency with computer skills which includes navigating multiple systems and keyboarding
    • Effective communication skills, both verbal and written
    • Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
    • Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer
    • Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor
    • Typical office working environment with productivity and quality expectations

    Education
    • RN with current unrestricted state licensure for MI
    • Case Management Certification CCM preferred