Case Management Nurse

Client: Blue Cross Blue Shield of Michigan

Duration: 12-month contract

Role Overview

As a Case Manager RN, you will lead the coordination of a multidisciplinary team to deliver holistic, person-centered care for a diverse member population. You will serve as the primary point of contact for members, caregivers, and providers, using phone, email, and digital platforms to manage and support care plans.

Key Responsibilities

• Coordinate care across a multidisciplinary team including social workers, dietitians, pharmacists, and medical directors
• Assess members’ clinical, psychosocial, and support needs
• Develop, implement, and monitor individualized care plans
• Identify care gaps, address barriers, and improve health outcomes
• Connect members with community and healthcare resources
• Provide education on self-management, medications, and overall health
• Support care transitions and ensure continuity of care
• Document all interactions accurately and maintain compliance with guidelines

Required Qualifications

• Nursing Diploma or Associate Degree in Nursing (BSN preferred)
• Minimum 3 years of clinical nursing experience (acute/post-acute/community setting)
• Active, unrestricted Multistate Compact RN license
• Strong communication, organizational, and critical thinking skills
• Proficiency with Microsoft Office tools

Preferred

• Case management experience in a managed care setting
• Experience with telephonic or digital patient management