Case Manager Registered Nurse - Field MI (Southwest Michigan)

Position Summary

Location: This role will work from home with 25-50% travel within Southwest Michigan (Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien Counties).

Schedule: Standard business hours Monday-Friday 8:00am-5:00pm EST; no night, weekend, or holiday shifts. Potential for a four‑day / ten‑hour shift schedule after a six‑month probationary period.

Our Mission

Field Case Managers are frontline advocates for members who cannot advocate for themselves. They assess, plan, implement, and coordinate all case‑management activities to evaluate the medical needs of the member and facilitate overall wellness.

Key Responsibilities

• Visit members at home to evaluate suitability for waiver services, write the waiver, and submit it for approval.
• Develop a proactive care plan that addresses identified issues to improve short‑ and long‑term outcomes and overall wellness.
• Use clinical tools and data review to assess member needs and benefits.
• Apply clinical judgment to incorporate strategies that reduce risk factors and barriers and address complex health and social indicators that impact care planning.
• Conduct comprehensive assessments using information from various sources (e.g., claims) to address all conditions, including comorbidities and multiple diagnoses affecting functionality.
• Employ a holistic approach to determine when referrals to clinical resources or other interdisciplinary team members are needed.
• Collaborate with supervisors and key stakeholders to overcome barriers and present cases at interdisciplinary case conferences.
• Utilize case‑management processes that comply with regulatory and company policies and procedures.
• Apply motivational interviewing techniques to maximize member engagement and assess health status and needs through targeted questions and conversation.

Remote Work Expectations

• This remote role requires 25‑50% travel. Candidates must maintain a dedicated workspace free of interruptions.
• Dependents must have separate care arrangements during work hours; continuous care responsibilities during shift times are not permitted.

Required Qualifications

• Registered Nurse with an active MI state license in good standing.
• Confidence working independently at home while collaborating virtually with teams.
• Ability to travel within the designated geographic area for in‑person case‑management activities as directed by leadership or business needs.
• Excellent analytical and problem‑solving skills.
• Effective communication, organizational, and interpersonal skills.
• Ability to work independently.
• Effective computer skills, including navigating multiple systems and keyboarding.
• Proficiency with standard corporate software applications (MS Word, Excel, Outlook, PowerPoint).

Preferred Qualifications

• Experience in care management, discharge planning, and/or home health care coordination.
• Certified Case Manager certification.

Education

• Associate’s Degree required.
• Bachelor’s Degree preferred.

Anticipated Weekly Hours

40

Time Type

Full‑time

Pay Range

$60,522.00 – $129,615.00

Benefits

Wide range of offerings including affordable medical plan options, a 401(k) plan with company matching, an employee stock purchase plan, no‑cost wellness programs, paid time off, flexible schedules, family leave, dependent‑care resources, colleague‑assistance programs, tuition assistance, and retiree medical access.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.