Job Description

Job Description

PHP is seeking a travel nurse RN Case Management for a travel nursing job in Detroit, Michigan.

Job Description & Requirements

• Specialty: Case Management
• Discipline: RN
• Start Date: ASAP
• Duration: 12 weeks
• 40 hours per week
• Shift: 8 hours, days
• Employment Type: Travel

Local candidates required.
Candidate will be supporting ambulatory case management team by enrolling patients into case management services and allocating billing codes to services.
Candidates must have 3-5 years experience in telephonic case management. Inpatient case management experience will not apply.
Candidates must complete billing/coding training within 6 months of start of position - will be provided.
If your candidate has already completed this training with Blue Cross, they will not need to be local.
Candidates must be a Registered Nurse (RN) or a Licensed Social Worker (LMSW) with a valid, unrestricted State of Michigan license.
Will be using Epic Compass Rose system for charting. - will train

Manager will be making offers based on resume and answers to below questions. Be sure to include answers to below questions in submittal packet.
Screening questions for temporary CM staff:
1. Do you have experience working in a primary care clinic providing short term case management services?
2. Do you have the following skills:
a. Motivational interviewing
b. Goal setting and care planning
c. Care coordination
d. SDoH assessment and connection to resources
3. Are you familiar with Patient Centered Medical Home designation and Provider Delivered Care Management billing?
a. Have you completed one of the following training sessions through MICMT:
i. Introduction to Team Based Care, or
ii. Patient Engagement Foundations
b. Do you have experience/an understanding of CM billing codes?
4. Do you have experience documenting in Epic?
5. Do you have experience working in a fast paced environment providing targeted telephonic outreach to meet performance metrics?

Skills: Excellent verbal communication and written documentation skills. Excellent customer service and interpersonal skills including the ability to interact with internal and external customers and all levels of the organization. Strong problem-solving, analytical, and decision-making skills. Strong computer skills and knowledge. Experience in discharge planning, home health care, rehabilitative medicine, community health or managed care preferred. Knowledge of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. Knowledge of medical ethics and legal implications related to case management. Understanding of social determinants of health and their impact on a patient s wellbeing. Well versed in facilitating community resources to meet the needs of diverse populations. Strong organizational, planning and implementation skills with the ability to handle multiple complex patients needs simultaneously. Strong sense of compassion with the ability to successfully advocate for patients and their families. Ability to travel to meet with patients/members as needed in a variety of care settings (specialty appointments, hospital, skilled nursing facilities, etc.) Must meet or exceed core customer service responsibilities, standards and behaviors as outlined in the HFHS Customer Service Policy and summarized below: Communication, Ownership, Understanding, Motivation, Sensitivity, Excellence, Teamwork, Respect. Must practice the customer skills as provided through on-going training and in-services. Must possess the following personal qualities: Be self-directed, Be flexible and committed to the team concept, Demonstrate teamwork, initiative and willingness to learn, Be open to new learning experiences, Accepts and respects diversity without judgment, Demonstrates customer service values. PHYSICAL DEMANDS/WORKING CONDITIONS: Normal office environment with minimal exposure to noise, dust, or extreme temperatures.

Education: Bachelor s degree in nursing or related professional field (i.e., social work, counseling, health education, etc.) or a Master s degree of Social Work, required. Minimum (3) three years of clinical experience, required. Registered Nurse (RN) or a Licensed Social Worker (LMSW) with a valid, unrestricted State of Michigan license, required. Certification in Case Management (CCM) by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association. Required within 3 years of hire.

Job-438759 About PHP

At PHP, you are always the first focus! For us, it isn’t simply about hiring staff, it’s about building a solid family of healthcare professionals by expanding their premium employment opportunities, guiding them through every step of the process, and providing them with the highest compensation and best benefit packages in the industry. With over 20 years of experience, travel contracts in all 50 states and internationally, and many industry awards and recognitions, Premier Healthcare Professionals focuses on quality, not quantity. That is our commitment!

Job Tags

Temporary work, Local area, Immediate start, Flexible hours, Shift work,

Similar Jobs