Case Manager (RN) - Diabetic Clinic

Lake Huron Medical Center is a 139-bed community hospital that provides a wide range of inpatient and outpatient health care services to residents of St. Clair and Sanilac counties including emergency services, primary stroke center, cancer care, surgical services, physical therapy and rehabilitation services, pulmonary rehabilitation, and specialized diabetes programs.

Lake Huron Medical Center is affiliated with Lake Huron Medical Group which offers patient-centered care through primary and specialty care physician practices located throughout the Blue Water Area. Raising the bar for quality health care, Lake Huron Medical Center received the Leapfrog Group's grade "A" in hospital safety, Healthgrades Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of Approval for Hospital Accreditation by demonstrating continuous compliance with its performance standards. Learn more at www.mylakehuron.com.

As a member of Prime Healthcare, Lake Huron Medical Center is proud to be part of a system recognized as one of America's Greatest Workplaces for 2024 by Newsweek and Plant-A Insights Group! This prestigious honor is based on over 1.5 million comprehensive company reviews from more than 250,000 employees, highlighting our commitment to creating a positive and supportive work environment.

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

Position is full time 40 hours per week with our Diabetic Clinic at various physician offices in St. Clair County.

Must have valid Michigan RN License.

Position is responsible for patient education, support and connecting patients with resources for managing chronic illnesses. They will also assist offices with supporting quality initiatives from insurance companies.

Education and Work Experience

Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
1. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
2. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
3. Current BCLS (AHA) certificate upon hire and maintain current;
4. Knowledge of Milliman Criteria and InterQual Criteria preferred.
5. Experience and knowledge in basic to intermediate computer skills.
6. Behavioral Violence Prevention Training within 3 months of hires and maintain current.

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