Jobs in Novi, MI

About the role

We are looking for an experienced RN Clinical Case Manager to support a disability claim review program. In this role, you will guide members through a collaborative case management process built on assessment, planning, care coordination, and ongoing evaluation. Your work directly supports improvement in members' (patients) disabling and co-morbid conditions and helps maximize their employability. You will own your caseload from start to finish and be responsible for an efficient, timely, and complete case management process. You will be working in an approved remote environment within the states of: Michigan, Illinois, Florida, Texas, or  Minnesota . Stressful conditions may arise when the workload becomes more demanding than usual. We are looking for an experienced RN Clinical Case Manager to support a disability claim review program. In this role, you will guide members through a collaborative case management process built on assessment, planning, care coordination, and ongoing evaluation. You will own your caseload from start to finish and be responsible for an efficient, timely, and complete case management process.

What you'll bring

• Unrestricted RN licensure, without sanctions.
• Current certification in case management or a related field, or the ability to qualify for certification testing within six months of hire.
• Minimum of five years of clinical experience.
• Minimum of five years of case management experience in one or more of the following: medical, workers' compensation, auto, or disability case management.
• Working knowledge of diagnostic coding (ICD-10).
• Strong critical thinking, decision-making, and organizational skills with close attention to detail.
• Ability to meet deadlines and turnaround times consistently.
• Ability to work independently as well as within a team.
• Computer literacy, including solid working knowledge of Microsoft Word and Excel.
• Strong written, verbal, and telephonic communication skills, with the ability to manage multiple priorities.
• Bachelor's degree in nursing or a health-related field.
• Working knowledge of the insurance industry, medical claims, and/or disability claims.