Details
Posted: 26-Jul-22
Location: Ann Arbor, Michigan
Salary: Open
MEDICAL CASE MANAGER
Risk Management Services has an immediate opening for a Nurse Case Manager. This is a unique opportunity for a medical professional who has experience with disability or case management services. The qualified candidate is someone who exercises critical thinking skills, independent judgment and thrives in a fast paced environment.
This position collaborates with providers, employees, outside resources and team members to assess, plan, implement, coordinate, monitor and evaluate options and services to meet individuals' health needs through available resources to promote quality and cost-effective medical and vocational outcomes.
RESPONSIBILITIES
- Comprehensive assessment and updating of the employee’s medical status, identify the critical/complex medical issue(s), develop and implement case management plans including healthcare/medical treatment goals; facilitate appropriate and efficient medical treatment to return the employee to optimal health and employment.
- Consult and collaborate with physicians, supervisors, treatment providers, disabled employees and staff to decrease fragmentation of care, improve quality of care, control costs and promote return to health.
- Identify treatment or disability that falls outside established standards and guidelines, recommend and implement appropriate remedial action plans.
- Assess community, workplace and vendor resources; ensure that services are appropriate, cost effective, timely and supportive.
- Assess essential functions of job, both physical and mental, to facilitate a safe return to work and return to best medical status. Identify issues that may present barriers and develop a plan to overcome them.
- Document activity in succinct claim notes in a timely and efficient manner.
- Provide education, consultation and collaborate with team members regarding medical information including diagnoses, treatment protocols and prognosis.
- Attend home visits, hospital visits, doctor’s appointments, departmental and stakeholders meetings when appropriate.
REQUIRED QUALIFICATIONS
- A bachelor's degree in Nursing, or a related field.
- Minimum of five years of clinical nursing experience.
- Recent knowledge of disease processes and recognition of their distinctive cost patterns and unique range of available therapies and interventions, current trends and developments in medicine and their application and levels of services.
- Certified Case Manager (CCM), Certified Occupational Health Nurse (COHN) or related accreditation is required. If not certified, application for certification is required within two years of hire with successful completion within three years of hire.
- Strong customer service, collaborative, problem-solving, time management, and organizational skills.
- Demonstrated proficiency in written and verbal communication skills.
DESIRED QUALIFICATIONS
- Minimum of three years of case management experience in employee disability, Workers’ Compensation or Auto Liability with broad clinical background.
- Demonstrated customer service competencies.
- Minimum of three years of direct bedside or critical care experience.
- Work experience in an Integrated Disability Management model involving case management of both Workers’ Compensation and non-occupational injuries.
- Knowledge of Return to Work models, Family Medical Leave Act, Americans with Disabilities Act and University policies and procedures.
Work Location
- This is a full-time position; Monday through Friday. As part of the University of Michigan Finance Division Future of Work initiative, this positin may work onsite, remote, or hybrid (both onsite work and remotely) based on the business needs of the unit.
Additional Information
- The University of Michigan, with an operating budget of $10 billion, is a leader in higher education. The Finance Division reports to the Executive Vice President and Chief Financial Officer and partners with the University community to provide the financial infrastructure essential to being one of the world’s greatest public universities. We are comprised of several units including Treasury, Financial Operations, Sponsored Programs, Procurement Services, and Financial Analysis. Comprised of several distinct divisions, we share a common set of values and goals. For more information about the Finance Division, please go to www.finance.umich.edu
- The Finance Organization seeks to recruit and retain a diverse workforce as a reflection of our commitment to serve the diverse people of Michigan, to sustain the excellence of the university, and to offer our students richly varied disciplines, perspectives and ways of knowing and learning.
- We offer an extensive total compensation package including competitive pay, two-for-one retirement contribution, a variety of health insurance options, and a generous vacation plan. In addition, there are seven paid holidays and four paid season days.
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.
The University of Michigan is an equal opportunity/affirmative action employer.
U-M COVID-19 Vaccination Policy
COVID-19 vaccinations, including boosters when eligible, are required for all University of Michigan students, faculty and staff across all campuses, including Michigan Medicine. This includes those working remotely. More information on this new policy is available on the Campus Blueprint website or the UM-Dearborn and UM-Flint websites.