Title: Nurse Case Manager II - Wayne and Macomb Counties
Location: Candidates should be either in Wayne County or Macomb County or very close to it
Schedule: Monday-Friday 8:00am – 5:00pm EST.
Pay rate: $45/hr on w2
Key Skills
- Field and Telephonic Based
- Add city/state, zip, and county at the top of the resume
- Candidates should be either in Wayne County or Macomb County or very close to it.
- This is a field-based position requiring approximately 50–75% travel, with an expectation of being in the community 2–3 days per week to conduct member visits and care management activities
- When not in the field, work is completed remotely from home, including telephonic outreach and documentation.
- Caseloads are assigned using a point-based system, with size varying based on member stratification and acuity, ensuring a balanced workload aligned to complexity and care needs.
Founded in 1996, CTC began as an IT organization and has evolved over nearly 30 years into a multidisciplinary solutions partner. CTC took our expertise to the next level by adding healthcare staffing and technology, forming CTC Medisource.
CTC Medisource is a reliable partner that assists healthcare organizations in sourcing quality talent to improve the patient experience, scale the workforce, and increase operational performance. Headquartered in Detroit, Michigan, with a global team of more than 2,000 professionals, we bring deep expertise across Healthcare Staffing, AI & ML, Enterprise Applications, Digital Health, Managed Services, and Business Services.
Summary
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
Duties
Through the use of clinical tools and information/data review, 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
Experience :
- 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
- Position requires 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?
Work Environment
- Sedentary work involves periods of sitting, talking, and listening.
- Work requires sitting for extended periods, talking on the telephone, and typing on the computer.
Education
- RN with current unrestricted state licensure for MI.
- Case Management Certification CCM preferred
Pay: $45.00 per hour
Application Question(s):
- Case Management Certification CCM preferred
Experience:
- Candidates should be either in Wayne County or Macomb County : 1 year (Required)
- Clinical practice: 3 years (Required)
License/Certification:
- State active RN (Required)
Work Location: In person
