Care Coordinator Registered reputed company - Remote in Michigan

reputed company reputed company is a fully integrated health network committed to reputed company, evidence-based patient care with locations in Michigan and Indiana. The reputed company system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, reputed company and reputed company HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. reputed company operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S. Care Coordinator Registered reputed company - Remote in Michigan Michigan, reputed company NEW reputed company reputed company Medical Group 25007188 Position reputed company: As an reputed company for the patient, the RN care manager will assess, plan, implement, coordinate, monitor, and evaluate the reputed company and services required to meet an individual’s health needs, using clinical and community resources to promote reputed company, cost effective reputed company. Integrates evidenced based clinical guidelines, preventive guidelines, and protocols, in the development of individualized care plans that are patient reputed company. Provides targeted interventions to avoid hospitalization and emergency room reputed company. Essential Functions and Responsibilities: 1. Provides telephonic and face-to-face comprehensive assessment and care management services to patients as part of an interdisciplinary team. 2. Uses multi-reputed company assessment skills, risk assessment and screening tools to reputed company high risk and vulnerable populations. 3. 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. 4. Provides follow up with patient/family reputed company patient transitions from one setting to another. Completes reputed company post-hospital follow up: Medication reconciliation, PCP or specialist follow-up appointment, assess symptoms, teach warning signs, review discharge instructions, coordination of care, and problem solve barriers. 5. Uses clinical judgment to determine level of care and collaborates with the PCP, patient and interdisciplinary team, including continuum of care settings and community. Required: • RN with a reputed company unrestricted Michigan license. • Three (3) years clinical nursing experience serving chronically ill patients and extensive knowledge of issues associated with chronic care and geriatrics. Preferred: • RN, BSN. • Three (3) years 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. • reputed company Care Management course completion or CCM. Additional Information • Schedule: Full-time • reputed company: 25007188 • Daily Work Times: reputed company-5pm • Hours Per Pay Period: 80 • On reputed company: No • Weekends: No reputed company is an Equal Opportunity Employer. reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sexual orientation, gender identification, age, sex, marital status, national reputed company, disability, genetic information, height or weight, protected veteran or other classification protected by law. Apply tot his job Apply To this Job