REQUIRED SKILLS:
EDUCATION AND/OR EXPERIENCE
* Nursing diploma or associates degree in nursing required
* Bachelor’s degree in nursing or related field preferred
* Two (2) to four (4) years of related clinical experience required
* One (1) to three (3) years internal experience preferred
OTHER SKILLS AND ABILITIES:
* Must have basic computer knowledge, typing capability and proficiency in Microsoft Word and Outlook
* Knowledge of CM/DM principles, CCM Admin Modules, Care Advance system, Prism, NASCO and P&P
* VDA, MEDCO, NCSW, Coaches Desktop, COSTCAI, HOTP database where applicable
* Knowledge of HIPAA, American Disability Act, Clinical ethics, COB rules and Medical Policy
* Familiarity with InterQual criteria, crises call interventions, evidence based guidelines and alternate care
* Knowledge of educational assessments and learning strategies
* Knowledge of medical surgical principals, discharge planning, chronic diseases and clinical programs
* Ability to negotiate rates with par and non-par providers for extra and non-contractual services
* Ability to develop financial plans
* Knowledge of current trends in related fields
* Knowledge of benefits
* Effective written and verbal communication and feedback
* Effective organizational skills, ability to prioritize and flexibility
* Valid current Michigan driver’s license and personal means of reliable transportation for nurses on-site (Blue Care Connect Case Managers required)
* Proof of auto liability coverage for nurses on-site (Blue Care Connect Case Managers required) CERTIFICATES, LICENSES, REGISTRATIONS
* Registered Nurse with current unrestricted Michigan Registered Nurse license required
* Certification in Case Management (CCM) preferred
* Certification in Chronic Care Professional (CCP) preferred
