Top 175 Registered nurse case manager Jobs in Rochester Hills, Mi

RN, telephonic Clinical Case Manager
Managed Medical Review Organization —Novi, MI
- $85,000 a year
- Full-time
- Remote
- Nursing
- RN License
- 5 years
Quick Apply
RN Case Manager
Trinity Health Michigan —Pontiac, MI
- Full-time
- RN License
- Mid-level
- Leadership
Care Manager, LTSS (RN) Remote (Detroit MI)
Molina Healthcare, Inc. —East Detroit, MI
- $26.41 - $51.49 an hour
- Full-time
- Nursing
- RN License
- Experience working with individuals with disabilities
- Health insurance
RN Care Coordinator
Corewell Health —Farmington Hills, MI
- Part-time
- Nursing
- RN License
- Hospital
9d
Care Manager (RN) Remote (Detroit, MI)
Molina Healthcare —Detroit, MI
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Hospital
- HIPAA
- Health insurance
Registered Nurse (RN) - Case Manager - Up to $5,000 Sign On Bonus
Adaptive Home Health —Macomb, MI
- $64.10 per point
- Weekends as needed
- Management
- RN License
- Mid-level
- Mileage reimbursement
- 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
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
Hospice RN Case Manager
Amara Hospice Care —Southfield, MI
- $82,000 - $90,000 a year
- Full-time
- Management
- RN License
- Mid-level
Quick Apply
Patient Care Manager - RN
Heart to Heart Hospice —Macomb, MI
- Full-time
- RN License
- Mid-level
- Driver's License
- Mileage reimbursement
- Paid holidays
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
4d
Field RN CASE MANAGER - Grand Rapids, MI
OpTech LLC —Michigan
- $75,000 - $85,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Outlook
- Up to 50% travel
- Mileage reimbursement
- Health insurance
Quick Apply
9d
Hospice RN Case Manager ***Sign-On Bonus***
Angela Hospice —Livonia, MI
- $79,040 a year
- Full-time
- Background check
- Skilled nursing facility
- RN License
- Mileage reimbursement
- Health savings account
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
RN Field Care Manager Nurse
Humana —Warren, 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 —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 —Mount Clemens, 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 —Dearborn, MI
- $71,100 - $97,800 a year
- Full-time
- Remote
- Microsoft Word
- Spanish
- Nursing
- Paid parental leave
- Paid holidays
Licensed Care Manager II
AltaStaff, LLC —Detroit, MI
- $43.00 - $45.50 an hour
- Full-time
- RN License
- Word processing
- Mid-level
Quick Apply

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registered nurse case manager jobs near rochester hills, mi

RN, telephonic Clinical Case Manager

Managed Medical Review Organization -
Novi, MI

Quick Apply

Job Details

Full-time
$85,000 a year

Qualifications

Computer operation
RN License
Computer literacy
Spreadsheets
Managing patients as a nurse case manager
ICD-10
Bachelor's degree
Productivity software
Lean management

Full Job Description

About the Role
We are looking for an experienced RN Clinical Case Manager to support a disability claim review program. In this role, you will guide members through a collaborative case management process built on assessment, planning, care coordination, and ongoing evaluation. Your work directly supports improvement in members' (patients) disabling and co-morbid conditions and helps maximize their employability. You will own your caseload from start to finish and be responsible for an efficient, timely, and complete case management process.

What You'll Do

Determine the appropriate case management track for each assigned case.
Conduct telephonic clinical assessments covering activities of daily living, psycho-social factors, recent hospitalizations, current clinical status, treatment plans and medications, treating physicians, special needs, and the appropriate outreach interval for each case.
Develop customized, member-specific clinical case management plans.
Perform ongoing periodic telephonic outreach at intervals set during the initial clinical assessment.
Request and track receipt of the records and documentation needed to identify ongoing case management needs.
Build and maintain a case management resource library to provide members with information relevant to their conditions.
Assess whether a review is needed for a member's return to their own occupation, and identify the appropriate physician specialty when it is.
Collaborate with vocational specialists during the case management process when needed.
Conduct thorough, ongoing quality review of all case documentation and ensure completeness and accuracy of case paperwork.
Communicate with members, physicians, employers, and clients as appropriate.
Enter case activities into the case management system accurately and within client-required timeframes.
Maintain compliance with applicable practice standards and guidelines, including strict confidentiality and HIPAA adherence.

What You'll Bring

Unrestricted RN licensure, without sanctions.
Current certification in case management or a related field, or the ability to qualify for certification testing within six months of hire.
Minimum of five years of clinical experience.
Minimum of five years of case management experience in one or more of the following: medical, workers' compensation, auto, or disability case management.
Working knowledge of diagnostic coding (ICD-10).
Strong critical thinking, decision-making, and organizational skills with close attention to detail.
Ability to meet deadlines and turnaround times consistently.
Ability to work independently as well as within a team.
Computer literacy, including solid working knowledge of Microsoft Word and Excel.
Strong written, verbal, and telephonic communication skills, with the ability to manage multiple priorities.
Bachelor's degree in nursing or a health-related field.
Working knowledge of the insurance industry, medical claims, and/or disability claims.
Experience with Lean production management.

Work Environment
You will be working in an approved remote environment within the states of: Michigan, Illinois, Florida, Texas, or Minnesota. Stressful conditions may arise when the workload becomes more demanding than usual.

Quick Apply

Refine Your Search

registered nurse case manager jobs in rochester hills, mi

RN, telephonic Clinical Case Manager

RN Case Manager

Care Manager, LTSS (RN) Remote (Detroit MI)

RN Care Coordinator

Care Manager (RN) Remote (Detroit, MI)

Registered Nurse (RN) - Case Manager - Up to $5,000 Sign On Bonus

Registered Nurse (RN) - Case Manager

UM Case Manager/Appeals Coordinator

RN Case Manager | Onsite | Royal Oak, MI | Contract

Hospice RN Case Manager

Patient Care Manager - RN

Social Worker Care Manager- Contingent

Field RN CASE MANAGER - Grand Rapids, MI

Hospice RN Case Manager Sign-On Bonus

Hospice RN Case Manager - Detroit

RN Field Care Manager Nurse

RN Field Care Manager Nurse

RN Field Care Manager Nurse

RN Field Care Manager Nurse

Licensed Care Manager II

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