Top 4 Utilization management nurse Jobs in Menominee, Mi

IOP (Intensive Outpatient) Care Manager
Northpointe Behavioral Healthcare System —Menominee, MI
- $49,073.59 - $68,208.31 a year
- Full-time
- Nursing
- Addiction Medicine
- Writing skills
6d
Appeal Analyst RN | Remote | Contract
Walker Healthforce, LLC —United States
- Contract
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply

Discover related jobs

Based on your search for utilization management nurse jobs.

Change Manager I - Remote
CSAA Insurance Services, Inc. —New Franken, WI
Deep knowledge & validated application of change management processes and tools including stakeholder analysis & management, impact assessment, sponsorship…
$129,825 - $173,150 a year
1d
IT Project Coordinator Intern - Corporate Headquarters
BayCare Health Systems LLC —Green Bay, WI
Provide clerical and administrative support to project managers (e.g., formatting documents, data entry). Currently pursuing a degree in Information Technology,…

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

RN, LSW, LISW, Care Manager - Columbus
Careforth —Columbus, OH
Ability and flexibility to travel (usually by car) within assigned geographic area; valid driver’s license and car insurance required.
$62,657 - $84,173 a year
Patient Support Nurse
Valeris, Inc. —Columbus, OH
Must have active RN licensure in current state of practice. 2-3 years of nursing experience with relevant disease state experience preferred.
Quick Apply
6d

Show more jobs in cities nearby

I want to receive the latest job alert for utilization management nurse in menominee, mi

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

utilization management nurse jobs near menominee, mi

Nurse Practitioner jobs in Aurora, IL

Registered Behavior Technician jobs in New York, NY

Icu Nursing Fellowship jobs in Texas

Icu Rn jobs in Oklahoma City, OK

Amazon Contract jobs in Seattle, WA

Contract Analyst jobs in St. Louis, MO

Contract Analyst jobs in Idaho

Data Analyst jobs in Lincoln, NE

Remote Contract Work From Home jobs in Tennessee

Entry Level Data Analyst jobs in Washington, DC

Contract Analyst jobs in Miami, FL

Contract Analyst jobs in New York, NY

IOP (Intensive Outpatient) Care Manager

Northpointe Behavioral Healthcare System -
Menominee, MI

Apply Now

Job Details

Full-time
$49,073.59 - $68,208.31 a year
6 days ago

Qualifications

Risk management for crisis intervention support
Maintaining patient confidentiality
Data reporting
Team management
Pharmaceutical calculations
Leading team collaboration initiatives
Technical Proficiency
Training delivery

Full Job Description

Description:

Job Purpose

Crisis Stabilization Care Managers assess, link, monitor, treatment plan and provide follow-up services on individual needs. The goal is to meet the individual’s needs in the least restrictive manner possible. The Care Manager actively participates on a treatment team which makes decisions in establishing treatment goals and a service plan. This position also performs other duties and responsibilities assigned by administration or work teams.

Job Duties and Responsibilities

A review of this description has excluded the marginal functions of the position that are incidental to the performance of fundamental job duties. This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by the supervisor.

Essential Duties

Provides intensive crisis stabilization services daily to those individuals in the program. Hours for emergency services include 8-4.
Coordinates voluntary and involuntary hospitalizations; works with Probate Court.
Coordinates an ongoing assessment process to identify individual's strengths, abilities, disabilities, and needs based upon the utilization of diagnostic, evaluative, and progress reports.
Assists the individual in achieving maximum independence with medications and adherence to prescribed medications.
Utilizes person-centered planning practices in delivery of services to individuals.
Develops an individual plan of service with provision for linkages to other services based on the needs of the individual including residential, day program, rehabilitative services, DHHS, Social Security, etc.
Facilitates all treatment team meetings and assumes the final responsibility for organization and implementation of the individual plan of service.
Provides an ongoing process of treatment monitoring of services being delivered to an individual, assessing whether they are adequate for the needs of the individual and plan of service. This includes assessment of clinical outcome and individual satisfaction.
Links individual and individual's family to other community resources.
Consults with treatment team concerning the plan of service for individuals that may have regular crisis needs.
Conducts case transfers and case terminations in accordance with Northpointe policy and procedure.
Complies with the policies/procedures of the agency, licensing requirements, and the Medicaid Provider Manual.
Provides educational services to individuals, family members, guardians, and staff about intellectual/developmental disabilities, mental illness, specific treatment issues and recovery.
Provides advocacy for the individual to ensure needs are addressed and rights are protected.
Develops an individual safety plan of service with provision for linkages to other services based on the needs of the individual.
Completes and maintains accurate, timely required documentation per Northpointe’s documentation policies/procedures as verified through electronic monitoring; chart audits and applicable ELMER reports (unsigned documents, progress note timeliness, late IPOS, etc.). Completes documentation tasks electronically whenever possible (ex: capturing electronic signatures, etc.).

Requirements:

Qualifications

This position will actively support the mission, vision, and values of the agency.
The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education, Certifications, and/or Experience

Bachelor's degree in social work (BSW) or registered nurse
Michigan license requirements
Limited Licensed Bachelor’s Social Worker or Licensed Bachelor’s Social Worker (Social Workers must obtain full licensure (i.e., LBSW) within 6 months of being eligible for such licensure)
Licensed Registered Nurse
Experience working with individuals with mental illness required.

Knowledge and Skills

Must be knowledgeable and committed to maintaining confidentiality.
Knowledge of the Michigan Department of Health and Human Services, Medicaid Provider Manual, and Michigan Mental Health Code preferred
Ability to read, analyze, and interpret technical requirements and regulatory requirements applicable to the agency.
Ability to write individual plans of service, communications, and training. .
Ability to effectively communicate and present information to a varied audience which may include staff, contract providers, and community members.
Ability to analyze data to identify areas of opportunity and to organize data into meaningful formats such as reports, graphs, etc.
Ability to research best practice, guidelines, and mandated requirements.
Ability to lead and coordinate team efforts to achieve goals of the agency.
Ability to effectively educate and provide thorough training using a variety of means to meet the needs of the audience.
Ability to work with general mathematical concepts including dosage calculations for medications.
Ability to travel as required by this job.

Competencies

Demonstrate ability to effectively access, link and coordinate services using a person-centered, multidisciplinary team process.
For care managers working with mentally ill individuals: demonstrate knowledge and understanding of mental illness and recovery.
Demonstrate knowledge of high-risk behaviors and be able to appropriately assess all populations for potential harm to self or others.
Demonstrate the ability to accurately assess crisis situations, determine appropriate interventions and provide clinical justification through comprehensive documentation.
Demonstrate the ability to effectively prioritize multiple tasks, demonstrate effective organizational and time management skills, meet required time frames, and document activities in accordance with policies and procedures.
Demonstrate effective oral and written communication skills, be able to present information to a variety of professionals and the general public.
Demonstrate proficiency in computer software necessary to perform job functions.
Demonstrates knowledge and skills necessary to provide services to children and families served by Northpointe.
For care managers working with co-occurring individuals demonstrates the ability to identify, assess, and link and coordinate substance abuse treatment needs. Demonstrates full understanding of substance abuse diagnoses and treatment modalities.
Demonstrate ability to adhere to all Northpointe policies and procedures regarding confidentiality and individuals’ rights.
Strong team skills and the ability to work effectively as part of different group projects.
Requires a high degree of sound judgement and initiative.
Demonstrated ability to function in a complex environment filled with competing demands.
Demonstrated ability to solve complex, multi-disciplinary problems in a graceful and sensitive manner.
Overall commitment to the quality-of-service recipient care as well as customer service.

Working Conditions

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Demands

The employee is regularly required to talk or hear.
The employee frequently is required to sit.
The employee is occasionally required to stand; walk; use hands to finger, handle, or feel objects, tools, or controls; and reach with hands and arms.
The employee must occasionally lift and/or move up to 10 pounds.
Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
The noise level in the work environment is usually moderate.
The employee occasionally works in outside weather conditions and is occasionally exposed to fumes or airborne particles and toxic or caustic chemicals.
An employee in this job is regularly exposed to blood-borne pathogens, and occasional unsanitary environments.

Required Training

Training requirements established by licensing agencies, accreditation bodies, MDHHS, and NorthCare Network shall be followed upon hire, annually, and as necessary.

Apply Now

Refine Your Search

utilization management nurse jobs in menominee, mi

IOP (Intensive Outpatient) Care Manager

Appeal Analyst RN | Remote | Contract

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for utilization management nurse in menominee, mi

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected