The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social needs. They serve as the single point of contact for members, caregivers, and providers using a variety of communication channels including phone calls, emails, text messages and the BCBSM online messaging platform. The Care Manager RN uses the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the member’s health across the care continuum. They work in partnership with the member, providers of care and community resources to develop and implement the plan of care and achieve stated goals.
DEPARTMENTAL PREFERENCES
- Case Management experience is highly preferred.
- Audit participation experience highly preferred
- Participate in bi-annual audit sessions.
- Discharge planning experience is encouraged.
- Hospital telephonic experience preferred.
Must have exemplary computer skills and be able to utilize multiple systems when interacting with members/providers – Strongly Preferred
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QUALIFICATIONS
- Nursing Diploma or Associates degree in nursing required.
- Bachelor’s degree in nursing strongly preferred.
- 3 years of clinical nursing experience in a clinical, acute/post-acute care, and community setting required.
- 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.
- Current, active, and unrestricted Michigan Registered Nurse license required
- Certification in Case Management (CCM) required or to be obtained within 18 months of hire
- Certification in Chronic Care Professional (CCP) preferred
- Ability to think critically, be decisive, and problem solve a variety of topics that can impact a member’s outcomes.
- Empathetic, supportive and a good listener.
- Proficient in motivational interviewing skills.
- Demonstrated time management skills.
- Organizational skills with the ability to manage multiple systems/tools, while simultaneously interacting with a member.
- Must have intermediate computer knowledge, typing capability and proficiency in Microsoft programs (Excel, OneNote, Outlook, Teams, Word, etc.).
- Must embrace teamwork but can also work independently. 8. Excellent interpersonal and communication skills both written and verbal.
