Case Manager

Posted 11 Days Ago
Be an Early Applicant
Livonia, MI, USA
In-Office
Senior level
Healthtech
The Role
Assess patient needs and coordinate inpatient care from admission to discharge using utilization criteria. Collaborate with physicians and multidisciplinary teams to develop safe, appropriate care plans, handle utilization review/management, discharge planning, and ensure compliance with payor and regulatory requirements.
Summary Generated by Built In
Employment Type:Part timeShift:Rotating Shift

Description:

An Opportunity to Join our Remarkable Care as a Case Manager awaits YOU!!!!

Trinity Health Livonia is a beautiful full-service, 304-bed acute care hospital, located in Livonia, MI, that provides comprehensive care, including a 24-hour emergency department, general medicine, inpatient and outpatient surgery, physical medicine and rehabilitation, intensive care unit, cancer, cardiology, geriatrics and birthing and women's health. Through several major expansions in the hospital, programs and services, Trinity Health Livonia continues to offer the latest in quality health and medical services. Trinity Health Livonia has received numerous awards recognizing excellence in clinical outcomes, patient safety, financial performance and efficiency.

BENEFITS AVAILABLE TO YOU AS A COLLEAGUE OF TRINITY

  • Competitive compensation

  • Full benefits package including Medical, Dental, Vision, PTO, Life Insurance, Short and Long-term Disability starts DAY ONE

  • Nurse Residency Program for all new nurses! Click here for more details

  • Retirement savings plan with employer match and contributions

  • Opportunity for growth and advancement throughout Trinity Health

  • Tuition Reimbursement

  • DailyPay – Choose to get paid every day! Learn more by visiting www.dailypay.com  

  • Free parking in proximity to your workplace

Trinity Health offers a comprehensive benefit package offering healthcare plans accessing the Trinity Health and Blue Cross Blue Shield of Michigan (BCBSM) network of hospitals and providers. Each plan option offers the flexibility to choose from two tiers with Tier 1 Trinity Health network providers providing the lowest out of pocket costs and Tier 2 select BCBSM providers.

SUMMARY: 

A Case Manager is required to function at an advanced level of nursing and is required to understand the importance of disease management, critical pathways, continuum of care from admission through to discharge.  The Case Manager will assess patient needs, facilitates inpatient planning using criteria sets, collaborating with physicians and other healthcare providers to develop a safe and appropriate plan of care for patients. A Case Manager may work in the EC, the Birthing Center or on the medical/surgical floors with either inpatients or Observation patients, depending on their pre-determined assignment.

REQUIREMENTS:

Minimum Education, Licensure / Certification and Experience Required.

Bachelor of Science degree in Nursing or health related field or equivalent work experience.

Licensure / Certification

Current licensure to practice in Nursing in the State of Michigan.

Progression toward or a completed certification in case management required.

Current Basic Life Support (BLS) certification.

Minimum Education, Licensure / Certification and Experience Required.

Five years of clinical experience in nursing and recent (within 2 year) experience in utilization

review/management/discharge planning or case management.

Current knowledge of third party payor programs, requirements and applied criteria.

Knowledge of federal, state and local regulation affecting utilization review programs and payments.

Knowledge of regulatory and accrediting agency standards and regulations relative to utilization review. 

Click Here to learn more about the benefits, culture and career development opportunities available to you at Trinity Health System.

ABOUT TRINITY HEALTH LIVONIA HOSPITAL

We are a member of Trinity Health, a leading Catholic health care system based in Livonia, Michigan. Trinity Health operates in 22 states, employs about 133,000 colleagues and returns almost $1.1 billion to its communities annually in the form of charity care and other community benefit programs.

Click Here to learn more about Trinity Health.

Join Our Team | Trinity Health Michigan

Learn how to join our team at Trinity Health Michigan.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Skills Required

  • Bachelor of Science degree in Nursing or health related field or equivalent work experience
  • Current licensure to practice Nursing in the State of Michigan
  • Progression toward or completed certification in case management
  • Current Basic Life Support (BLS) certification
  • Five years clinical nursing experience with recent (within 2 years) utilization review/management/discharge planning or case management experience
  • Knowledge of third party payor programs, requirements and applied criteria
  • Knowledge of federal, state and local regulations affecting utilization review programs and payments
  • Knowledge of regulatory and accrediting agency standards and regulations relative to utilization review
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The Company
HQ: Livonia, MI
6,824 Employees

What We Do

Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity Health system includes 88 hospitals, 131 continuing care locations, the second largest PACE program in the country, 125 urgent care locations and many other health and well-being services. Based in Livonia, Michigan, its annual operating revenue is $20.2 billion with $1.2 billion returned to its communities in the form of charity care and other community benefit programs.

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