Care Coordinator II Registered Nurse (RN)- Health Alliance Plan (full-time)
EDUCATION/EXPERIENCE REQUIRED:
- Associate’s degree in Nursing required. Bachelor’s degree preferred.
- Minimum of two (2) years of acute hospital experience, e.g., medical/surgical nursing, long-term care, managed care, home health care, behavioral health, waiver or long term support services agencies.
- Knowledge and understanding of data and managing to clinical, financial and patient satisfaction outcomes.
- Medicaid/Medicare and /or HMO experience (Managed Care experience), preferred.
- Minimum of 5 years of experience in acute care, long term care or home health care, behavioral health, waiver or long term support services agencies, preferred.
- Experience with electronic health and case management systems, preferred.
- Knowledge and understanding of data and managing to clinical, financial and patient satisfaction outcomes, preferred.
- Participate in Performance Measurement Criteria by: cost reductions, admission statistics, accuracy of data, and accuracy of interpretation of case management and concurrent reviews.
- Self-starter who is analytical, organized, intuitive, and investigative.
- Good written and interpersonal communication skills.
- Strong problem-solving skills, extensive telephone involvement and Care Management coordination.
- Manual dexterity to operate PC (MS Word, Excel).
- Excellent customer service.
- Knowledge of medical terminology and ICD-9 and CPT coding.
- Follows State and Federal HMO regulations as related to Utilization Management.
CERTIFICATIONS/LICENSURES REQUIRED:
- Registered Nurse: Licensed Registered Nurse (RN) with the state of Michigan with license in good standing and without prior or current restrictions.
- Valid Michigan Driver’s License without restrictions.
- Registered vehicle with no fault insurance coverage.
- Certification in Case Management, preferred.
$60,278 is the minimum annual salary amount. This rate is the minimum pay for the position. Actual compensation will be based on education, years of experience, and other factors at the time of offer.
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan’s largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more at henryford.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Henry
Ford Health has a new approach for its employee benefits program - My Choice
Rewards. My Choice Rewards is a program as diverse as the people it serves. There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness, and a whole host of other benefits and services. Employee's classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.