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2 Case Manager (Macomb/Wayne Counties in Michigan) Jobs in Warren, MI

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Case Manager (Macomb/Wayne Counties in Michigan)
TotalMed Warren, MI
$86k-104k (estimate)
Full Time 2 Months Ago
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TotalMed is Hiring a Case Manager (Macomb/Wayne Counties in Michigan) Near Warren, MI

Pay: $44.11 per hour
Hours: Monday-Friday 8 am-5 pm
Location: Field Work in Macomb/Wayne Counties in Michigan

Position Purpose: The Case Manager utilizes a collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.

Responsibilities

  • Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred members' needs/eligibility and determines the approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services
  • Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate

administration of benefits

  • Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

Requirements:

  • Active, unrestricted RN license
  • Case Manager certification
  • 5 years of Clinical practice experience (hospital, home health, or ambulatory care)
  • Case Management experience required

#INDAS

Job Type: Full-time

Pay: $44.11 per hour

Expected hours: 40 per week

Benefits:

  • Dental insurance
  • Health insurance
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday
  • No nights
  • No weekends

Experience:

  • Clinical Nursing: 5 years (Required)
  • Case management: 5 years (Required)

License/Certification:

  • RN License (Required)
  • Nursing Case Management Certification (Required)

Ability to Relocate:

  • Warren, MI: Relocate before starting work (Required)

Work Location: On the road

Job Summary

JOB TYPE

Full Time

SALARY

$86k-104k (estimate)

POST DATE

03/22/2024

EXPIRATION DATE

07/18/2024

WEBSITE

totalmed-usa.com

HEADQUARTERS

Houston, TX

SIZE

<25

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