Case Manager Registered Nurse (LTSS) - Field MI (Wayne and Macomb County)
Core
Conduct comprehensive in-home LTSS assessments, develop person-centered care plans, and coordinate services for dual-eligible Medicare and Medicaid members to promote safety and independence.
Role type
Senior IC Registered Nurse Case Manager (LTSS)
Builds
Waiver and community-based service plans for dual-eligible populations
Domain
Long-Term Services and Supports (LTSS) / Medicaid Waiver Programs
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical assessment, care coordination, regulatory compliance, social determinant navigation, risk factor identification, interdisciplinary collaboration, electronic medical records proficiency
Preferred skills
Certified Case Manager (CCM), managed care experience, Michigan Medicaid waiver knowledge, bilingual skills
Technologies
Electronic medical records, care management platforms, MS Office suite
Responsibilities
Conduct in-home functional assessments, develop individualized service plans, coordinate with providers and community organizations, monitor member progress, present cases at interdisciplinary team meetings, ensure regulatory compliance
Seniority
Mid-level, hands-on IC