Care Coordinator Registered Nurse - Remote

Care Coordinator Registered Nurse - Remote in Michigan

Join to apply for the Care Coordinator Registered Nurse - Remote in Michigan role at McLaren Health Care
.

As an advocate for the patient, the RN care manager will assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet an individual’s health needs, using clinical and community resources to promote quality, cost‑effective outcomes. Integrates evidence‑based clinical guidelines, preventive guidelines, and protocols in the development of individualized care plans that are patient‑centric. Provides targeted interventions to avoid hospitalization and emergency room visits.

• Provides telephonic and face‑to‑face comprehensive assessment and care management services to patients as part of an interdisciplinary team.
• Uses multi‑dimensional assessment skills, risk assessment and screening tools to target high‑risk and vulnerable populations.
• Assesses over time the health care, educational, and psychosocial needs of the patient/caregiver. Uses standardized assessment tools such as depression screening, functionality, and health risk assessment.
• Provides follow‑up with patient/family when the patient transitions from one setting to another and completes timely post‑hospital follow‑up: medication reconciliation, PCP or specialist follow‑up appointment, assessment of symptoms, teaching of warning signs, review of discharge instructions, coordination of care, and problem‑solving barriers.
• Uses clinical judgment to determine level of care and collaborates with the PCP, patient, and interdisciplinary team, including continuum of care settings and community.

• RN with a valid unrestricted Michigan license.
• Three (3) years of clinical nursing experience serving chronically ill patients and extensive knowledge of issues associated with chronic care and geriatrics.

• RN, BSN.
• Three (3) years of experience in a health plan or Physician Organization environment with care coordination, care management, and/or population health.
• Telephonic care management experience.
• Home care and/or hospice experience.
• Complex Care Management course completion or CCM.

• Schedule:
  
  Full‑time
• Requisition :
• Daily Work Times: 8am‑5pm
• Hours Per Pay Period: 80
• On Call:
  No
• Weekends:
  No

Mid‑Senior level

Full‑time

Other

Hospitals and Health Care