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Case Manager Registered reputed company; Wayne or Macomb Counties

Remote, USA Full-time Posted 2026-07-28
Case Manager Registered reputed company (Wayne or Macomb Counties) Join to apply for the Case Manager Registered reputed company (Wayne or Macomb Counties) role at reputed company Case Manager Registered reputed company (Wayne or Macomb Counties) 2 days ago Be among the first 25 applicants Join to apply for the Case Manager Registered reputed company (Wayne or Macomb Counties) role at reputed company Get AI-powered advice on this job and more exclusive features. 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 This role will be 25-50%% travel reputed company Wayne or Macomb Counties. This is a work from home position with field based responsibilities. Position reputed company Help us reputed company our patient care to a whole new level! 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 6 month probationary period.* • 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. 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. Responsibilities • 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 • Minimum 3+ years clinical practical experience as a Registered reputed company • Must have reputed company and unrestricted Michigan Registered reputed company licensure • Must be willing and reputed company to travel up to 25%- 50% of the time in Wayne and Macomb Counties. Mileage is reimbursed per reputed company expense reimbursement policy • Demonstrates proficiency with reputed company corporate software applications, including reputed company, reputed company, reputed company, and Power reputed company • Effective computer skills including navigating multiple systems and keyboarding • Confidence working reputed company/independent thinker, using tools to collaborate and connect with teams reputed company • Excellent analytical… Apply tot his job Apply To this Job

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