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Clinical Case Manager

Clinical Case Manager

w3r ConsultingSterling Heights, MI, US
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Job Description

Job Title : Care Management RN

Location : Remote

Contract duration : 12 months

Schedule : 8am to 5pm (M-F)

Overview :

The Case Manager RN coordinates a multidisciplinary team to deliver holistic, member-centered care. They serve as the primary contact for members, caregivers, and providers, using phone, email, text, and digital platforms. The RN applies the case management process to assess needs, create care plans, coordinate resources, and support improved health outcomes.

Key Responsibilities :

  • Lead coordination of care with medical, behavioral health, pharmacy, and community teams.
  • Assess member health, psychosocial needs, and support systems.
  • Develop and monitor individualized care plans, addressing barriers and gaps.
  • Arrange and coordinate resources (community, mental health, financial, etc.).
  • Provide education on self-management, medications, nutrition, and post-discharge care.
  • Document interactions, monitor progress, and adjust plans as needed.
  • Advocate for members and promote self-advocacy.

Requirements :

  • Nursing diploma or associate degree (BSN preferred).
  • 3+ years clinical nursing experience (acute, post-acute, or community).
  • 1+ year case management in managed care preferred.
  • Michigan RN license (active / unrestricted).
  • CCM certification (or obtain within 18 months).
  • Strong critical thinking, communication, and organizational skills.
  • Proficiency in Microsoft Office and digital health tools.
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    Clinical Case Manager • Sterling Heights, MI, US