Health & Social Services RN - Remote in Michigan

Analyze, assess, plan and implement care strategies adapted to the patient and directed toward the most appropriate, least restrictive level of care. Actively identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services. Act as a champion of member care plans throughout the continuum of care and as a single point of contact. Communicate with all stakeholders required health-related information to ensure quality coordinated care. Assess members' current health status by making outbound calls and receiving inbound calls. Recognize gaps or barriers in treatment plans. Manage the care plan throughout the continuum of care. Advocate for patients and families as needed.