Top 196 Registered nurse case manager Jobs in Northville, Mi

RN Care Coordinator
Corewell Health —Farmington Hills, MI
- Part-time
- Nursing
- RN License
- Hospital
8d
RN Field Case Manager
Hope At Home Health Care —Wixom, MI
- Up to $100,000 a year
- Weekends as needed
- Nursing
- Management
- RN License
Quick Apply
RN Field Case Manager
Hope At Home Health Care —South Lyon, MI
- Up to $100,000 a year
- Weekends as needed
- Nursing
- Management
- RN License
Quick Apply
RN Field Case Manager
Hope At Home Health Care —Riverview, MI
- Up to $100,000 a year
- Weekends as needed
- Nursing
- Management
- RN License
- Health insurance
- Flexible spending account
Quick Apply
RN Field Case Manager
Hope At Home Health Care —Bloomfield Hills, MI
- Up to $100,000 a year
- Weekends as needed
- Nursing
- Management
- RN License
- Health insurance
- Flexible spending account
Quick Apply
Registered Nurse Care Manager
Internal Medicine - Multiple Offices —Bloomfield Hills, MI
- From $35 an hour
- Full-time
- RN License
- Computer literacy
- Primary Care
- Health savings account
- Health insurance
Quick Apply
Registered Nurse (RN) - Case Manager
Adaptive Home Health —Oakland County, MI
- $64.10 per point
- Weekends as needed
- Management
- RN License
- Mid-level
- Mileage reimbursement
- Health insurance
Quick Apply
UM Case Manager/Appeals Coordinator
Havenwyck Hospital (UHS) —Auburn Hills, MI
- $60,000 - $69,000 a year
- Full-time
- Background check
- LMFT
- Nursing
- Loan repayment program
- Health insurance
Quick Apply
UM Case Manager
Havenwyck Hospital (UHS) —Auburn Hills, MI
- $60,000 - $69,000 a year
- Full-time
- LMFT
- Nursing
- Psychiatry
- Loan repayment program
- Health insurance
Quick Apply
Social Worker Care Manager- Contingent
McLaren Oakland —Pontiac, MI
- From $28.45 an hour
- Day shift
- Acute care
- Background check
- Hospital
- Health savings account
- Health insurance
Quick Apply
3d
RN Case Manager | Onsite | Royal Oak, MI | Contract
Walker Healthforce, LLC —Royal Oak, MI
- Contract
- Spanish
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse Case Manager (RN)
Alternate Solutions Health Network —Troy, MI
- Full-time
- Nursing
- RN License
- English
Quick Apply
11d
Hospice RN Case Manager - Brighton Area
Optimal Care —Brighton, MI
- $77,000 - $85,000 a year
- Full-time
- Background check
- Nursing
- RN License
- Mileage reimbursement
- Health savings account
Quick Apply
Registered Nurse (RN) Case Manager
Alternate Solutions Health Network —Troy, MI
- Full-time
- RN License
- Mid-level
- Driver's License
Quick Apply
8d
RN Field Care Manager Nurse
Humana —Detroit, MI
- $71,100 - $97,800 a year
- Full-time
- Remote
- Microsoft Word
- Spanish
- Nursing
- Paid parental leave
- Paid holidays
RN Field Care Manager Nurse
Humana —Canton, MI
- $71,100 - $97,800 a year
- Full-time
- Remote
- Microsoft Word
- Spanish
- Nursing
- Paid parental leave
- Paid holidays
RN Field Care Manager Nurse
Humana —Sterling Heights, MI
- $71,100 - $97,800 a year
- Full-time
- Remote
- Microsoft Word
- Spanish
- Nursing
- Paid parental leave
- Paid holidays
RN Field Care Manager Nurse
Humana —Southgate, MI
- $71,100 - $97,800 a year
- Full-time
- Remote
- Microsoft Word
- Spanish
- Nursing
- Paid parental leave
- Paid holidays
Hospice RN Case Manager
Amara Hospice Care —Southfield, MI
- $82,000 - $90,000 a year
- Full-time
- Management
- RN License
- Mid-level
Quick Apply
Hospice RN Case Manager - Detroit
Optimal Care —Detroit, MI
- $77,000 - $88,000 a year
- Full-time
- Background check
- Nursing home
- Mid-level
- Mileage reimbursement
- Health savings account
Quick Apply

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RN Care Coordinator

Corewell Health -
Farmington Hills, MI

Apply Now

Job Details

Part-time
8 days ago

Qualifications

RN License
Acute care experience

Full Job Description

Location Farmington Hills, Michigan, United States of America Category Allied Health Job Id R222659 Job Type Part time Day (United States of America) REGULAR On-site

PART TIME- 20 hours a week.

Scope of work

Under general direction, integrates cost, quality and utilization to facilitate the admission, continued stay and discharge of the patient. Reviews and evaluates appropriateness of admission or continued stay based on medical necessity. The overall goal of the position is to enhance the quality of patient care and engagement, to promote continuity of care and cost effectiveness through the integration and functions of utilization management, and/or care coordination, discharge planning, and appropriate care transitions. Has accountability for the care coordination and discharge planning of all hospitalized patients.

Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning).
Responsible for managing a case load of patients that includes facilitating utilization management, and/or care coordination during the patient’s stay, planning and expediting plans for safe and effective discharge and transition to the appropriate level of care and setting needed after hospitalization. Coordinating care by considering all patient’s needs.
Uses critical thinking and effective judgment to determine alternative courses of care. Judiciously uses tools designed to expedite care while being cost effective. Actively participates in readmission initiatives and strategies to maximize patient flow and appropriate resource utilization. Works collaboratively on processes to provide effective transition for patients utilizing hospital outpatient, observation or inpatient services.
May review cases for medical necessity, uses InterQual and/or other UR/UM Committee-approved medical necessity screening criteria, when appropriate. Works collaboratively with departmental, revenue cycle, and clinical appeals staff, physicians, and payers to obtain authorization for care and appropriate reimbursement. Determines and assures appropriate status and level of care. Uses defined resources to guide decisions, including Medical Director Care Management, Physician Advisors, and management staff.
Routinely communicates with payers, patients/family caregivers, physicians, the interdisciplinary team, post-acute and community-based care providers to facilitate coordination of care and to enhance a seamless transition from hospital setting to the appropriate alternative level of care.
Seeks out information and resources to apply creative problem solving for complex discharge/transition planning, quality of care, and utilization management issues. Provides notification and communication to patients/families regarding coverage for hospital and post-acute services, in accordance with CMS regulations.
Documents utilization reviews, utilization management actions, care management assessment(s), care plan, discharge plan, and interventions, according to policies, procedures, and regulatory, contractual, and legal requirements. Acts proactively to see that hospital resources are utilized appropriately.
Works collaboratively with other departments to define areas of hospital inefficiency and participates in improvement projects.

Qualifications

Required Bachelor's Degree Graduate of an accredited school of nursing.
Required Will consider non-BSN RN if actively pursuing a Bachelors degree in nursing with completion within 2 years of hire.

2 years of relevant experience Minimum two years’ experience in the acute care setting. Required
3 years of relevant experience Three to five years’ experience in care management, utilization review, home care and/or discharge planning. Preferred

Registered Nurse (RN) - State of Michigan Upon Hire required
CRT-At least one Certification from preferred list - UNKNOWN Unknown Upon Hire required
Basic Life Support (BLS) - AHA American Heart Association preferred Or
Basic Life Support (BLS) - ARC American Red Cross preferred
Case Manager, Certified (CCM) - CCMC Commission for Case Manager Certification Upon Hire preferred

How Corewell Health cares for you

Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
Optional identity theft protection, home and auto insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Farmington Hills Hospital- 28050 Grand River Ave - Farmington Hills

Department Name

Care Management - Farmington Hills Hosp

Employment Type

Part time

Shift

Day (United States of America)

Weekly Scheduled Hours

Hours of Work

8:00am to 4:30pm

Days Worked

Variable

Weekend Frequency

Variable weekends

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.

Apply Now

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registered nurse case manager jobs in northville, mi

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