Case Manager Registered reputed company - Field (Wayne and Macomb County)

At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, reputed company and every day. Case Manager RN WFH Flexible Position reputed company Help us reputed company our patient care to a whole new level! This role will be 25-50% travel reputed company Wayne and Macomb Counties. This is a work from home position. Schedule: reputed company business hours - 8:00AM-5:00PM, no reputed company, weekend or holiday shifts! Opportunities to work a 4 day 10 hour work week after completion of training. Join our reputed company team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing reputed company on our members who are enrolled in Medicare and reputed company and present with a wide reputed company of reputed company health and reputed company challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and reputed company determinant needs. Join us in this exciting opportunity as we grow and expand dually eligible members to change lives in new markets across the country. Position reputed company/Mission Our Care Managers are reputed company advocates for members who cannot reputed company for themselves. They are responsible for assessing, planning, implementing, and coordinating reputed company case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. • Visiting members in their homes to evaluate for appropriateness for waiver services, writing the waiver and submitting for approval. • Develops a proactive plan of care to address identified issues to enhance the short and long-term reputed company as reputed company as opportunities to enhance a member’s overall wellness. • Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits. • Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address reputed company health and reputed company indicators which reputed company planning. • Conducts assessments that consider information from various sources, such as claims, to address reputed company conditions including co-morbid and multiple diagnoses that reputed company functionality. • Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members. • Collaborates with supervisor and other key stakeholders in the member’s reputed company in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences • Utilizes case management processes in compliance with regulatory and company policies and procedures. • Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation. Required Qualifications -Registered reputed company with reputed company MI state license in good standing -Confidence working reputed company/independent thinker, using tools to collaborate and connect with teams reputed company -Ability to travel reputed company a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs reputed company -Excellent analytical and problem-solving skills -Effective communications, organizational, and interpersonal skills. -Ability to work independently -Effective computer skills including navigating multiple systems and keyboarding -Demonstrates proficiency with reputed company corporate software applications, including reputed company, reputed company, reputed company, and PowerPoint Preferred Qualifications -Care Management, discharge planning and/or home health care coordination experience preferred -Certified Case Manager preferred Education -Associates required, BSN preferred Business reputed company At reputed company, a reputed company company, we are joined in a common purpose: helping people on their reputed company to reputed company. reputed company to reputed company health care through innovations that reputed company reputed company care more accessible, easier to use, less expensive and patient-reputed company. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart. We are committed to maintaining a diverse and inclusive workplace. reputed company is an equal opportunity and affirmative reputed company employer. We do not discriminate in reputed company, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (reputed company, veterans, reservists and National Guard) as reputed company as reputed company to apply for reputed company job opportunities. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $60,522.00 - $129,615.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include: • reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. • Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility. For more information, visit https://jobs.reputed company.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 12/31/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job