Job Title: Integrated Case Manager Job Description We are seeking a dedicated Integrated Case Manager responsible for case management and discharge planning of patients from the hospital to their home or another medical facility. This role involves creating and implementing patients' discharge plans from an office setting using electronic medical records (EMR) systems, predominantly EPIC. Responsibilities + Conduct comprehensive assessments of patients and their family/caregiver’s biomedical, psychological, social, and functional needs. + Develop personalized, patient-centered care plans aimed at optimizing the patient's care experience. + Engage patients and their families as part of the care team through advocacy, ongoing communication, health education, identification of resources, and service facilitation. + Utilize professional judgment, critical thinking, motivational interviewing, and self-management techniques to assist patients in overcoming barriers to goal achievement. + Provide counseling and interventions related to treatment decisions and end-of-life issues, including Advanced Care Planning. + Coordinate as necessary to ensure patients seamlessly and safely transition between care settings. + Advocate for appropriate delivery of services within the patient’s health plan benefit structure. + Collaborate with appropriate members of the patient’s treatment/care team to co-manage patients with complex medical and social needs and facilitate interdependent collaborative care conferences. + Continually evaluate the patient's response to the care/treatment plan, making modifications when necessary. + Plan and participate in process improvement activities designed to reduce risk, inclusive of data collection, analysis, and follow-up intervention activities. + Facilitate interventions in cases involving child abuse and neglect, domestic violence, elder abuse, institutional abuse, and sexual abuse. Essential Skills + Registered Nurse (RN) or Licensed Social Worker (LSW) with a valid, unrestricted State of Michigan license. + Bachelor's or Associate's Degree. + At least three years of inpatient clinical case management experience and discharge planning experience in an acute care setting. + Basic Life Support (BLS) certification. Additional Skills & Qualifications + Experience with multiple hospital units, such as Cardio, Neuro, Neuro ICU, and ICU. + Experience with electronic medical records systems, preferably EPIC. + Strong communication and advocacy skills. + Proficiency in motivational interviewing and self-management techniques. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. Diversity, Equity & Inclusion At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through: + Hiring diverse talent + Maintaining an inclusive environment through persistent self-reflection + Building a culture of care, engagement, and recognition with clear outcomes + Ensuring growth opportunities for our people The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.