Case Manager - CCM – MI RN License - Local to Michigan -Remote Job Kalamazoo Michigan USA,Healthcare

Position: Case Manager - CCM – MI RN License Must - Local to Michigan -Remote role

Job Title
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Case Manager - CCM – MI RN License Must - Local to Michigan
-Remote role

Are you a Case Manager seeking a dynamic and rewarding opportunity? Our client, a leading company in Healthcare, is looking for a talented Case Manager to join their growing team.

About Kyyba:Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence

delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.

At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.

Kyyba is recruiting for the below mentioned position with our direct client which is one of the major Healthcare Payers in the US.

Description
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This position is fully remote; candidates will not be required to work onsite.

The Case 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's online messaging platform.

The Case 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 Behavioral 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.

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