REMOTE RN Case Manager

Job Title: REMOTE RN Case Manager

About Kyyba:
Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.
At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.

Position Details:

Title: REMOTE RN Case Manager
Location: Detroit, Michigan
Duration: 12 Months (possible extension)

Department: BCCC Commercial Operations
Position: Case Manager RN
Work Location: Fully Remote (No onsite requirement)

Position Overview
The Case Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person-centered care management program for a diverse health plan population with varying health and social needs. This role serves as the single point of contact for members, caregivers, and providers using multiple communication channels, including phone calls, emails, text messages, and the client’s online messaging platform. The Case Manager RN applies the case management process to assess, develop, implement, monitor, and evaluate individualized care plans designed to optimize member health across the care continuum. The role works collaboratively with members, providers, and community resources to achieve care goals.

Essential Duties and Responsibilities

• Lead coordination of a regionally aligned, multidisciplinary team providing telephonic and digital care management support, including Medical and Behavioral Health Social Workers, Registered Dietitians, Pharmacists, Clinical Support Staff, and Medical Directors.
• Use the case management process to assess, develop, implement, monitor, and evaluate care plans.
• Assess member health status, psychosocial needs, cultural preferences, and support systems.
• Engage members and caregivers to develop individualized plans of care, address barriers, and identify gaps in care.
• Arrange resources to meet identified needs, including community services, mental health and substance abuse services, financial assistance, and disease-specific programs.
• Coordinate care delivery among providers, community-based agencies, family members, and other support systems.
• Advocate for members and promote self-advocacy.
• Provide education related to health literacy, self-management skills, medication plans, and nutrition.
• Monitor and evaluate care plan effectiveness, assess adherence, and adjust plans as necessary.
• Accurately document all member interactions and care activities.
• Prepare members and caregivers for discharge or transitions between care settings to ensure continuity of care.
• Educate members and caregivers on post-transition care and required follow-up.
• Secure durable medical equipment and transportation services and communicate arrangements to all relevant parties.
• Adhere to professional standards, protocols, rules, and guidelines while meeting quality and productivity goals.
• Maintain professional development through continuing education and Certified Case Manager (CCM) requirements.

Education and Experience

• Nursing Diploma or Associate Degree in Nursing (required)
• Bachelor’s Degree in Nursing (strongly preferred)
• Minimum of 3 years of clinical nursing experience in acute, post-acute, or community settings (required)
• At least 1 year of case management experience in a managed care environment (strongly preferred)
• Experience managing patients telephonically and through digital platforms (preferred)

Licenses and Certifications

• Current, active, and unrestricted Michigan Registered Nurse (RN) license (required)
• Certified Case Manager (CCM) certification required or to be obtained within 18 months of hire
• Certification in Chronic Care Professional (CCP) preferred

Skills and Abilities

• Strong critical thinking, decision-making, and problem-solving skills
• Empathetic, supportive, and attentive listener
• Proficiency in motivational interviewing techniques
• Demonstrated time management and organizational skills
• Ability to manage multiple systems and tools while engaging with members
• Intermediate computer proficiency, including Microsoft Excel, OneNote, Outlook, Teams, and Word
• Ability to work independently while collaborating effectively within a team
• Excellent written and verbal communication skills

Location: Detroit, MI

Page Range Where Required (currently California, Colorado, New York, Washington)

Disclaimer:
Kyyba is an Equal Opportunity Employer.
Kyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. Minorities / Females / Protected Veterans / Individuals with Disabilities are encouraged to apply. All employment is decided on the basis of qualifications, merit, and business need.
It is the policy of Kyyba to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact Kyyba at 248-813-9665.

Rewards:
Medical, dental, vision
401k 
Term life
Voluntary life and disability insurance
Optional Pre-paid legal plan
Optional Identity theft plan
Optional Medical and dependent FSA
Work-visa sponsorship
Opportunity for advancement
Long-term assignment with opportunity for hire by client 

SELECT AWARDS
· An INC 5000 company for 10 years
· Corp! Michigan Economic Bright Spots 
· Crain’s Detroit Business Top Staffing Service Companies in Detroit
· TechServe Alliance Excellence Award- IT and Engineering Staffing & Solutions
· Best of MichBusiness winner in HR Wizards & Partnerships
· Metro Detroit Elite Category: Recruitment, Selection & Orientation for 101 Best &
Brightest
· 101 Best & Brightest Companies to Work for in Michigan