Community Based Care Manager RN Wayne County
Core
Coordinate care and services for members through culturally competent delivery, assessments, and person-centered care planning to address behavioral, physical, and social determinants of health.
Role type
Senior Registered Nurse Case Manager
Builds
Person-centered individualized care plans (ICP) and coordinated service delivery
Domain
Healthcare / Case Management / Medicaid & Medicare
Deliverable
client delivery
Required skills
Registered Nurse licensure, nursing degree, health equity lens, trauma-informed care, motivation interviewing, inter-disciplinary team facilitation, care plan development, resource coordination, clinical standards implementation, psychosocial assessment, post-discharge transition planning, driver's license
Preferred skills
Advanced clinical degree, Medicaid/Medicare managed care experience, Case Management Certification
Technologies
Microsoft Office (Outlook, Word, Excel)
Responsibilities
Conduct strength-based health and psychosocial assessments; Facilitate inter-disciplinary care team meetings; Develop and update person-centered care plans; Coordinate with community and faith-based organizations; Manage barriers to care plan goals; Provide clinical oversight to unlicensed team members; Document care coordination activities; Conduct home and community visits; Verify member eligibility and enrollment history.
Seniority
Senior, hands-on IC
