RN Case Manager – MI Choice Medicaid Waiver Program – Positions Available in Petoskey
General Information
Location
2100 Raybrook St., SE, Suite 203
Grand Rapids, MI 49546
Description:
Reliance Community Care Partners has a unique opportunity for an RN to take their career to the next level. This position offers flexibility, work from home as well as out in the local community and the opportunity to work as an essential part of an interdisciplinary health care team. This role will cover 2-3 counties within West Michigan.
Why Join Reliance Community Care Partners?
Reliance Community Care Partners is a non-profit health care and case management organization that specializes in coordinating community health care services for older adults and those with disabilities. We work collaboratively with health care providers, government agencies, insurance providers, legal representatives, and family members to make sure those we serve receive the attention and care they need to live healthy, meaningful, and productive lives.
What Will You Do?
In this community-based program, the RN Case Manager provides case management services from his/her home office and surrounding community for the MI Choice Waiver Program.
Responsibilities
- Both In-home and phone assessments to formulate plan of care
- Coordination of care with other team members to develop, initiate, facilitate, and monitor the plan of care
- Mobilize and coordinate family and/or friends to assist with services needs
- Arrange and participate in person-centered conferences as needed
- Evaluate and coordinate safety risk assessments in the participant’s intended residence
- Advocates on behalf of participant in care related matters for procurement of services and entitled benefits
- Identifies individuals who could benefit from disease management, screens and offers MI Choice Waiver program
- Provides education and empowers the participant in implementation of the person-centered care plan
Skills to be Successful
- Flexibility, resiliency, and adaptability
- Self-directed and autonomous
- Ability to prioritize
- Organized
- Comfortable with navigating various technologies and computer applications
- Team player mentality
Education and Experience
- RN licensure in the State of Michigan
- At least 2 years of RN experience in direct clinical care
- Older adult care or experience working with disabled population preferred
- Knowledge of community-based resources and strong networking skills
- Certified Case Manager (CCM) is preferred
- Hospice and/or certified home care experience is highly valued
Reliance Community Care Partners is a non-profit health care and case management organization that specializes in coordinating community health care service for older adults and those with disabilities. We work collaboratively with health care providers, government agencies, insurance providers, legal representatives, and family members to make sure those we serve receive the attention and care they need to live healthy, meaningful and productive lives.
If you are interested and passionate about serving the needs of adults in our community please click on the link below, then click on the “Careers” tab at the top of the page and then click on the blue “View Available Positions” box. To find this job type in “RN Case Manager” in the search box.
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Quality Coordinator – Claims, full-time
General Information
Location
2100 Raybrook St., SE, Suite 203
Grand Rapids, MI 49546
Description:
Reliance Community Care Partners is seeking a full-time Quality Coordinator – Claims Representative to join our team of professionals
What will you do:
- Perform claim audit functions and data management to ensure date integrity, record completeness, compliance with contractual and accreditation requirements
- Work with program staff to facilitate data integrity and accuracy along with data management and analysis that includes submission and correction of data.
- This key team member has the option to work in the Corporate Office or in their own home office setting (once oriented).
- The schedule is Monday-Friday, 8:00am – 4:30pm.
Qualified candidates:
- High school diploma or equivalent
- Minimum of 1 year of experience in medical claim processing
- Top candidates will be skilled in efficient and accurate, detailed data entry
- Experience with claims processing software, and knowledge of medical terminology and ICD10, CPT, and HCPCS coding is preferred
Reliance Community Care Partners is a non-profit health care and case management organization that specializes in coordinating community health care service for older adults and those with disabilities. We work collaboratively with health care providers, government agencies, insurance providers, legal representatives, and family members to make sure those we serve receive the attention and care they need to live healthy, meaningful and productive lives.
If you are interested and passionate about serving the needs of adults in our community please click on the link below, then click on the “Careers” tab at the top of the page and then click on the blue “View Available Positions” box. To find this job type in “Quality Coordinator – Claims” in the search box.
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BSW/MSW Social Work Case Manager – no nights, weekends, holidays, or on-call, for Traverse City
General Information
Location
Corporate Office
2100 Raybrook St., SE, Suite 203
Grand Rapids, MI 49546
Description
Enjoy a health work/life balance – you’ve earned it! Reliance Community Care Partners has a unique opportunity for a Social Worker to use their gifts and experience to the fullest while not getting in the way of a healthy balance of work and life! This position offers a Monday – Friday, daytime schedule with flexibility, working from home locally while residing within the Traverse City area as well as making daily visits out in the community. This is a great opportunity to work as an essential part of an interdisciplinary health care team.
Why Join Reliance Community Care Partners?
Reliance Community Care Partners is a non-profit health care and case management organization that specializes in coordinating community health care services for older adults and those with disabilities. We work collaboratively with health care providers, government agencies, insurance providers, legal representatives, and family members to make sure those we serve receive the attention and care they need to live healthy, meaningful, and productive lives.
What Will You Do?
In this community-based program, the Social Work Case Manager provides case management services out of his/her local home office in the Traverse City area for the MI Choice Medicaid Waiver Program.
Responsibilities
- Both in-home and phone assessments to formulate plan of care
- Coordinate care with other team members to develop, initiate, facilitate, and monitor the plan of care
- Mobilize and coordinate family and/or friends to assist with services needs
- Arrange and participate in person-centered conferences as needed
- Evaluate and coordinate safety risk assessments in the participant’s intended residence
- Advocate on behalf of participant in care related matters for procurement of services and entitled benefits
- Provide education and empower the participant in implementation of the person-centered care plan
Skills to be Successful
- Flexibility, resiliency, and adaptability
- Self-directed and autonomous
- Ability to prioritize
- Organized
- Comfortable with navigating various technologies and computer applications
- Team player mentality
Education and Experience
- BSW or MSW (required) full or limited licensure in the State of Michigan
- At least 2 years of clinical Social Work experience
- Older adult care or experience working with disabled population preferred
- Knowledge of community-based resources and strong networking skills
- Certified Case Manager (CCM) preferred
- Hospice and/or certified home care experience is highly valued
If you are interested and passionate about serving the needs of adults in our community please click on the link below, then click on the “Careers” tab at the top of the page and then click on the blue “View Available Positions” box. To find this job type in “BSW/MSW Social Work Case Manager” in the search box.
