Care Manager

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Deliver health coaching via telephone, focusing on quality enhancement and care coordination.

• Instruct patients and offer personalized self-management assistance aligned with their learning preferences.

• Collaborate with patients and caregivers to boost self-efficacy and involvement in their own care.

• Coordinate care while acting as an advocate and resource for patients, families, and healthcare providers.

• Assist with care transition planning and provide necessary follow-up.

• Conduct thorough evaluations of medical, behavioral, pharmaceutical, and social requirements.

• Recognize and address gaps in care and obstacles to better health outcomes.

• Partner with primary care physicians and care teams to identify high-risk patients and formulate care-plan strategies.

• Lead complex care discussions with the interdisciplinary care team.

• Support initiatives in population health management.

• Evaluate, enhance, and uphold clinical, financial, and functional quality metrics.

• Create and implement care plans aimed at minimizing unnecessary hospital and specialist visits.

• Provide clinical supervision to non-licensed support personnel and assign supportive duties.

• Utilize the Aledade App and real-time data for managing high-risk patients and engaging with frequent utilizers.

⛳️ Requirements

• Must possess an active, unrestricted Michigan license as either a Registered Nurse (RN) or a fully licensed Master Social Worker (LMSW).

• Must be a Michigan resident.

• 3-5 years of direct healthcare experience is required, preferably in home health, ambulatory care, community public health, case management, or care coordination across various settings with multiple providers.

• Familiarity with the healthcare community in the area or a strong commitment to learning through networking and community assessment.

• Experience in population health and/or telephonic/remote managed care is preferred.

• Knowledge of quality metrics is essential.

• Experience in empowering patients and teaching self-management techniques.

• Background in working with vulnerable populations across different age groups.

• Proficient in documenting within electronic health records.

• Willingness to travel up to an estimated 10% as required for office practices and staff retreats within Michigan.

• Ability to perform sedentary work on the telephone and computer, involving repetitive movements.

• Finger dexterity is required.

• Strong communicative, auditory, and visual skills are necessary.

🏝️ Benefits

• Flexible work schedules and remote work options are available for numerous roles.

• Health, dental, and vision insurance coverage of up to 80% for employees, their dependents, and domestic partners.

• Comprehensive time-off plan including 21 days of PTO in your first year.

• Two paid volunteer days and 11 paid holidays each year.

• 12 weeks of paid parental leave for all new parents.

• Six weeks of paid sabbatical after six years of service.

• Educational Assistant Program and Clinical Employee Reimbursement Program available.

• 401(k) plan with up to 4% matching contribution.

• Stock options offered.