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Remote Case Manager
Location: US-MI-Lansing
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TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc. Work Location: Lansing, MI 48901 Dept: SHS CM Program Delivery
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The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social needs. -
They serve as the single point of contact for members, caregivers, and providers using a variety of communication channels including phone calls, emails, text messages and the Client online messaging platform. -
The Care Manager RN uses the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the member's health across the care continuum. -
They work in partnership with the members, providers of care and community resources to develop and implement the plan of care and achieve stated goals. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned: -
Lead the coordination of a regionally aligned, multidisciplinary team to provide holistic care to meet member needs telephonic and/or digitally. -
The multidisciplinary team includes Medical and Behavioral Health Social Workers, Registered Dietitians, Pharmacists, Clinical Support Staff and Medical Directors. -
Use the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the members' health across the care continuum. -
Assess the member's health, psychosocial needs, cultural preferences, and support systems. -
Engage the member and/or caregiver to develop an individualized plan of care, address barriers, identify gaps in care, and promote improved overall health outcomes. -
Arrange resources necessary to meet identified needs (e.g., community resources, mental health services, substance abuse services, financial support services and disease-specific services) -
Coordinate care delivery and support among member support systems, including providers, community-based agencies, and family -
Advocate for members and promote self-advocacy. -
Deliver education to include health literacy, self-management skills, medication plans, and nutrition. -
Monitor and evaluate effectiveness of the care management plan, assess adherence to care plan to ensure progress to goals and adjust and reeval
TekWissen Group
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