Jobs
>
Case Manager
>
Detroit

    Case Manager - Detroit, United States - Tekwissen

    Tekwissen
    Tekwissen Detroit, United States

    1 day ago

    Default job background
    Description
    Overview:

    TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.

    Title: Case Manager

    Work Location: Detroit, MI, 48226

    Duration: 12 Months

    Job Type: Contract

    Work Type: Remote

    Dept: SHS CM Program Delivery

    Engagement Description:
    • Fulfilment required with compact nursing license.
    • "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 client 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.
    ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned:
    • Lead the coordination of a regionally aligned, multidisciplinary team to provide holistic care to meet member needs telephonic and/or digitally.
    • The multidisciplinary team is inclusive of Medical and Behavioural Health Social Workers, Registered Dietitians, Pharmacists, Clinical Support Staff and Medical Directors.
    • Use the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the members' health across the care continuum.
    • Assess the member's health, psychosocial needs, cultural preferences, and support systems.
    • Engage the member and/or caregiver to develop an individualized plan of care, address barriers, identify gaps in care, and promotes improved overall health outcomes.
    • Arrange resources necessary to meet identified needs (e.g., community resources, mental health services, substance abuse services, financial support services and disease-specific services).
    • Coordinate care delivery and support among member support systems, including providers, community-based agencies, and family.
    • Advocate for members and promote self-advocacy.
    • Deliver education to include health literacy, self-management skills, medication plans, and nutrition.
    • Monitor and evaluate effectiveness of the care management plan, assess adherence to care plan to ensure progress to goals and adjust and reevaluate as necessary.
    • Accurately document interactions that support management of the member.
    • Prepare the member and/or caregiver for discharge from a facility to home or for transfer to another healthcare facility to support continuity of care.
    • Educate the member and/or caregiver about post-transition care and needed follow-up, summarizing what happened during an episode of care.
    • Secure durable medical equipment and transportation services and communicate this to the member and/or caregiver and to key individuals at the receiving facility or home care agency.
    • Adhere to professional standards as outlined by protocols, rules and guidelines meeting quality and production goals.
    • Continue professional development by completing relevant continuing education and maintaining Certified Case Manager (CCM).
    EDUCATION AND EXPERIENCE
    • 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.
    CERTIFICATES, LICENSES, REGISTRATIONS
    • Current, active, and unrestricted client 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 QUALIFICATIONS
    • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
    • 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.
    OTHER SKILLS AND ABILITIES
    • 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.
    • Excellent interpersonal and communication skills both written and verbal."
    TekWissen Group is an equal opportunity employer supporting workforce diversity.
  • N2S Healthcare Staffing Solutions LLC

    Case Manager

    3 weeks ago

    N2S Healthcare Staffing Solutions LLC Detroit, United States

    Job Title: Integrated Case Manager · Location: Detroit, MI 48202 · Duration: 13 Weeks contract. · Shift: 8a-4:30p (5x8), 40 Hours Weekly · Hourly pay: $62-$64. · Job summary: · • Conducts a comprehensive assessment of patient and family/caregiver's biomedical, psychological, soci ...

  • N2S Healthcare Staffing Solutions LLC

    Case Manager

    4 weeks ago

    N2S Healthcare Staffing Solutions LLC Detroit, United States

    Job Title Integrated Case Manager · Location Detroit MI 48202 · Duration 13+ weeks of contract role (wishing to convert at the end of their assignment) · Shift time 8:30AM - 5PM rotating scheduled, weekend availability required. · Schedule Notes: · Full Time Day Shift Position ...

  • Net2Source Inc.

    Case Manager

    4 weeks ago

    Net2Source Inc. Detroit, United States

    Job Title Integrated Case Manager · Location Detroit Mi 48202 · Duration 13 weeks of contract role (wishing to convert at the end of their assignment) · Shift time 8:30AM - 5PM rotating scheduled, weekend availability required. · Schedule Notes: · Full Time Day Shift Position ...

  • Henry Ford Health

    RN Case Manager- Inpatient Case Management

    1 week ago

    Henry Ford Health Detroit, United States

    **NEWLY ENHANCED PAY RATES** · RN Case Manager - Emergency Department · Work Schedule: Contingent · Location: Detroit · Are you ready for an adrenaline-pumping career where every day is different? Join our Emergency Department team as a Registered Nurse (RN) Case Manag ...

  • Delta-T Group Inc.

    Case Manager

    1 week ago

    Delta-T Group Inc. Detroit, United States

    Job Description · Job DescriptionLocation: Detroit, MI 48202Date Posted: 5/29/2024Category: SchoolEducation: HS Graduate/GED · Our client is seeking a Employee Relations Case Manager to work in the Detroit area. · CLIENT'S SUMMARY OF THIS OPPORTUNITY · *Conduct document and file ...

  • Neighborhood Service Organization

    Case Manager

    22 hours ago

    Neighborhood Service Organization Detroit, United States

    Job Description · Job Description: · Job Title: Case Manager I/II/Sr. Job Number: Unit: All lines of business Date Originated: 1/2016 Work Location: Community Based/Clinic Revision Date: 08/17/2023 Reports to: Supervisor of Case Management EEOC Category Professional Worker's Comp ...

  • Delta-T Group Inc.

    Case Manager

    1 week ago

    Delta-T Group Inc. Detroit, United States

    Job Description · Job DescriptionLocation: Detroit, MI 48202Date Posted: 6/1/2024Category: SchoolEducation: HS Graduate/GED · Our client is seeking a Employee Relations Case Manager to work in the Detroit area. · CLIENT'S SUMMARY OF THIS OPPORTUNITY · *Conduct document and file ...

  • Delta-T Group Inc.

    Case Manager

    3 weeks ago

    Delta-T Group Inc. Detroit, United States

    Job Description · Job DescriptionLocation: Detroit, MI 48202Date Posted: 5/14/2024Category: SchoolEducation: HS Graduate/GED · Our client is seeking a Employee Relations Case Manager to work in the Detroit area. · CLIENT'S SUMMARY OF THIS OPPORTUNITY · *Conduct document and file ...

  • Molina Healthcare

    Case Manager

    3 weeks ago

    Molina Healthcare Detroit, United States Paid Work

    JOB DESCRIPTION · For this position we are seeking a Licensed Social Worker (LMSW) who lives in Michigan and must be licensed for the state of Michigan. · This position will support our MMP (Medicaid Medicare Population). This position will have a case load and manage members enr ...

  • Delta-T Group Inc.

    Case Manager

    22 hours ago

    Delta-T Group Inc. Detroit, United States

    Job Description · Job DescriptionLocation: Detroit, MI 48202Date Posted: 6/7/2024Category: SchoolEducation: HS Graduate/GED · Our client is seeking a Employee Relations Case Manager to work in the Detroit area. · CLIENT'S SUMMARY OF THIS OPPORTUNITY · *Conduct document and file ...

  • Molina Healthcare

    Case Manager

    2 weeks ago

    Molina Healthcare Detroit, MI, United States

    JOB DESCRIPTION This position will support our MMP (Medicaid Medicare Population) that is part of the Community Well Services team. This position will have a case load and manage members enrolled in this program. We are looking for Registered Nurses who have experience working wi ...

  • Delta-T Group

    Case Manager

    3 weeks ago

    Delta-T Group Detroit, United States

    Location: Detroit, MI 48202 Date Posted: 5/11/2024 Category: School Education: HS Graduate/GEDOur client is seeking a Employee Relations Case Manager to work in the Detroit area. CLIENT'S SUMMARY OF THIS OPPORTUNITY*Conduct document and file reviews*Obtain, organize, and maintain ...

  • Delta-T Group Inc.

    Case Manager

    1 week ago

    Delta-T Group Inc. Detroit, United States

    Job Description · Job DescriptionLocation: Detroit, MI 48202Date Posted: 5/28/2024Category: SchoolEducation: HS Graduate/GED · Our client is seeking a Employee Relations Case Manager to work in the Detroit area. · CLIENT'S SUMMARY OF THIS OPPORTUNITY · *Conduct document and file ...

  • Delta-T Group

    Case Manager

    2 days ago

    Delta-T Group Detroit, United States

    Location: Detroit, MI 48202 · Date Posted: 6/3/2024 · Category: School · Education: HS Graduate/GED · Our client is seeking a Employee Relations Case Manager to work in the Detroit area. · CLIENT'S SUMMARY OF THIS OPPORTUNITY · *Conduct document and file reviews · *Obtain, ...

  • Delta-T Group

    Case Managers

    4 weeks ago

    Delta-T Group Detroit, United States

    Location: Detroit, MI 48219 · Date Posted: 5/8/2024 · Category: Community Based · Education: Bachelor or Master's Degree · With over 35 years in business, the Delta-T Group has built a reputation for referring highly qualified professionals for rewarding short and long-term i ...

  • Delta-T Group Inc.

    Case Manager

    3 days ago

    Delta-T Group Inc. Detroit, United States

    Job Description · Job DescriptionLocation: Detroit, MI 48202Date Posted: 6/5/2024Category: SchoolEducation: HS Graduate/GED · Our client is seeking a Employee Relations Case Manager to work in the Detroit area. · CLIENT'S SUMMARY OF THIS OPPORTUNITY · *Conduct document and file ...

  • Neighborhood Service Organization

    Case Manager

    2 weeks ago

    Neighborhood Service Organization Detroit, United States

    Job Description · Job DescriptionJob Title: Case Manager · Location: Detroit- In Person · Salaried · Full Time- 8:30am-5pm · Overview of Responsibilities: · Under the direction of the supervisor of the division assigned, the case manager works to directly provide high quality ca ...

  • Spectrum Human Services

    Case Manager

    2 weeks ago

    Spectrum Human Services Detroit, United States

    Job Description · Job DescriptionAbout the role · The Case Management team at Valor Place assists in the placement and replacement of youth, advocates for appropriate educational services for each child, and maintains accurate records – meeting specific timelines as required by f ...

  • Delta-T Group

    Case Managers

    1 week ago

    Delta-T Group Detroit, United States

    Location: Detroit, MI 48219 Date Posted: 5/28/2024 Category: Community Based Education: Bachelor or Master's DegreeWith over 35 years in business, the Delta-T Group has built a reputation for referring highly qualified professionals for rewarding short and long-term independent c ...

  • Delta-T Group Inc.

    Case Manager

    3 weeks ago

    Delta-T Group Inc. Detroit, United States

    Job Description · Job DescriptionLocation: Detroit, MI 48202Date Posted: 5/16/2024Category: SchoolEducation: HS Graduate/GED · Our client is seeking a Employee Relations Case Manager to work in the Detroit area. · CLIENT'S SUMMARY OF THIS OPPORTUNITY · *Conduct document and file ...