Michigan Residency Required 

Department: Quality Management

Shift:  8:00am-5:00pm

Scheduled hours per pay: 80

Description:

We are looking for a Managed Care Coordinator, RN to join us in leading our organization forward. McLaren Health Care is one of Michigan's fastest growing health systems. With 15 hospitals, annual revenues of over $6 billion, and a service area that covers 75% of the state of Michigan, McLaren is committed to the highest levels of patient care. Our focus is to support physician offices in all aspects of care delivery and operations including clinical integration, contracting, quality, care coordination and care management, across all settings.

Position Summary:

As an advocate for the patient, the RN care manager will assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet an individual’s health needs, using clinical and community resources to promote quality, cost effective outcomes.  Integrates evidenced based clinical guidelines, preventive guidelines, and protocols, in the development of individualized care plans that are patient centric.  Provides targeted interventions to avoid hospitalization and emergency room visits.

This position is fully remote.

Qualifications

Required:

RN with a valid unrestricted Michigan license.

·        Three (3) years clinical nursing experience serving chronically ill patients and extensive knowledge of issues associated with chronic care and geriatrics with a minimum of 3 years in cardiac or cardiac office.

   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.

Cardiac Office Experience

Complex Care Management course completion or CCM. 

Additional Information Schedule: Full-time Requisition ID: 24007971 Daily Work Times: 8:00am-5:00pm Hours Per Pay Period: 80 On Call: No Weekends: No