Nurse Case Manager II - (Wayne and Macomb Counties)

Job ID: 26-71882Position Type: Full-timeLocation: Wayne and Macomb Counties, MIWork Type: This is a field-based position requiring approximately 50–75% travel in Wayne and Macomb Counties, MIEst. Pay Range: $44.14/hr. to $48.00/hr. all-inclusive on W2Position Summary:The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.Duties:Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/servicesApplication and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriateadministration of benefitsUtilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and proceduresExperience: 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.Healthcare and/or managed care industry experience.Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboardingEffective communication skills, both verbal and written.Ability to multitask, prioritize and effectively adapt to a fast paced changing environmentSedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.Typical office working environment with productivity and quality expectationsEducation:RN with current unrestricted state licensure for MI.Case Management Certification CCM preferredEmployee Benefits: At LanceSoft, full time regular employees who work a minimum of 30 hours a week or more are entitled to the following benefits:Four options of medical InsuranceDental and Vision Insurance401k ContributionsCritical Illness InsuranceVoluntary Permanent Life InsuranceAccident InsuranceOther Employee PerksLanceSoft is a certified Minority Business Enterprise (MBE) and an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. LanceSoft makes hiring decisions based solely on qualifications, merit, and business needs at the time.