Care Manager
Trinity Health - IHAYpsilanti, MI, Michigan, United States, 4819719 hours ago
Job type
- Full-time
Job descriptionCollaborates with members of the health care team and patient to ensure the delivery of quality, efficient, patient centered, and cost effective healthcare services. Assists patients who are at risk for developing chronic conditions to minimize these risks by providing self-management support and patient education; Empowers patients to manage their health Provides targeted interventions to avoid hospitalization and emergency room visits; in specialty population the care manager ensures proper triaging of the patient and appropriate delivery of care in accordance with established protocols. Assesses, plans, implements, monitors, and evaluates delivery of individualized patient care with the goal of optimizing the patient’s health status. Serves as an active member of the office based care team and works closely to support identification and referrals of eligible patients for care management support. Participates in the outreach and engagement of patients that are hospitalized to assist with the transition of care and provides support and education to avoid further readmissions. Coordinates the care and services of selected member populations across the continuum of care, promotes effective utilization and monitoring of health care resources, and assumes a collaborative role with all members of the healthcare team to achieve optimal clinical and resources outcomes. Maintains the ability to utilize guidelines and standards of care for management of chronic diseases. Makes “cold calls” and engages patients into the program effectively. Identifies common populations / high volume complex populations within the practice and prioritizes and directs interventions. Coordinates and provides patient education for common patient populations within the office. Designs individual plan of care for patients based on evidence-based guidelines. Fosters a team approach by collaborating / referring patients to supporting members of the care team (RD, CDE, pharm, panel manager etc.) and ensures coordination of services. Assesses health behavior and disease-specific risks; identifies a plan of action for patients. Assures clinical compliance with follow through utilizing reminders, follow-up calls, patient and office education. Refers selected patients to determined community resources and coordinate with these resources. Provides patient-specific feedback to providers and clinical team. Provides face-to-face and telephone interactions with patient population. Utilizes relevant computer information support including the EMR and any other care management and / or clinical IS systems needed to complete the tasks of clinical care and performance reporting. Works with patients and providers to customize services that will best meet the needs of the patient and work within their benefits. Researches and facilitates services for patients outside of their benefits while utilizing community services and resources. Assists in orientation process by having new CM shadow. Provides feedback on the CM orientation process. Evaluates and manages day to day workflow and adjust as needed to increase efficiencies. A ttends required meetings and training, and participates in committees as requested. Assists with special projects and performs other duties as assigned and works within the scope of RN licensure. Performs assessments of the home and social determinants of health for individuals aged 65 or older. In collaboration with the Home Based NP and / or primary care physician the care manager works to implement a plan of coordinated care that supports the individual’s goals, strengths and preferences. Creates a positive, professional, service-oriented work environment for staff, patients and family members by supporting the mission and values of Trinity Health Medical Group. Must be able to work effectively as a member of the Patient Care team. Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management. Successfully completes all relevant organizational training and adheres to Trinity Health Medical Group standard of care as outlined in the Trinity Health Code of Conduct. Maintains knowledge of and complies with Trinity Health Medical Group standards, policies and procedures. Maintains general knowledge of Trinity Health Medical Group office services and in the use of all relevant office equipment, computer and manual systems. Maintains strict confidentiality in compliance with Trinity Health Medical Group and HIPAA guidelines. Serves as a role model by d emonstrating exceptional ability and willingness to take on new and additional responsibilities. Embraces new ideas and respects cultural differences. Uses resources efficiently. If applicable, responsible for ongoing professional development – maintains appropriate licensure / certification and continuing education credentials, participates in available learning opportunities. Knowledge of patient care procedures and organizational policies related to position responsibilities. Knowledge of chronic conditions, evidence-based guidelines, prevention, wellness, health risk assessment, and patient education Excellent assessment and triage skills (per specialty population expectations). Understands chronic disease management strategies and is able to implement appropriate protocols and guidelines. Proficient / knowledgeable in medical terminology. Proficient in operating a standard desktop and Windows-based computer system, including but not limited to, electronic medical records and other care management and / or clinical IS systems, email, e-learning, intranet, Microsoft Word and Excel, and computer navigation needed to complete the tasks of clinical care and performance reporting. Ability to use other software as required while performing the essential functions of the job. Excellent communication skills in both written and verbal forms, including proper phone etiquette. Ability to speak before groups of people. Ability to work autonomously and collaboratively in a team-oriented environment; courteous and friendly demeanor. Ability to work effectively with various levels of organizational members and diverse populations including IHA staff, providers, provider leadership, patients, family members, insurance carriers, vendors, external customers and community groups. Good organizational and time management skills to effectively juggle multiple priorities and time constraints. Ability to exercise sound judgement and problem-solving skills. Demonstrated skills with influencing and negotiating individual and group decision-making. Ability to handle patient and organizational information in a confidential manner. Knowledge of the compliance and quality aspects of clinical care and patient privacy and best practices in medical office operations. Ability to travel to other office / practice sites and meeting and training locations. Successful completion of IHA competency-based program within introductory and training period. Physical activity that often requires keyboarding, phone work and charting. Physical activity that often requires extensive time working on a computer. Physical activity that often requires handling and lifting patients walking, standing, bending, stooping, reaching, climbing, kneeling and / or twisting. Physical activity that often requires lifting, pushing and / or pulling up to 20 pounds. Specific vision abilities required include close vision, depth perception, peripheral vision and the ability to adjust and focus. Manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Must hear and speak well enough to conduct business over the telephone or face to face for long periods of time in English.
Care Manager
- Shared Care Manager for Livonia and Ann Arbor.
POSITION DESCRIPTION :
The Care Manager I is an integral member of the office care team. Provides care management and care coordination for patients that are experiencing a transition of care, undergoing treatment or have moderate to complex illness, while working under minimal supervision.
ESSENTIAL JOB FUNCTIONS :
Clinical responsibilities include :
In addition, for those working on the Home Based Care Team :
ORGANIZATIONAL EXPECTATIONS :
MEASURED BY :
Performance that meets or exceeds IHA CARES Values expectation as outlined in IHA Performance Review document, relative to position. Care Management Metrics including productivity and ACP education and completion, and others defined by program.
ESSENTIAL QUALIFICATIONS :
EDUCATION : Bachelor of Science degree in Nursing (BSN) or Associates Degree in Nursing with extensive nursing experience. Completion of self-management support training preferred.
CREDENTIALS / LICENSURE : Valid, unrestricted RN license in the State of Michigan; valid CPR certification. CCM certification preferred.
MINIMUM EXPERIENCE : 3-5 years of experience with primary care / ambulatory care, home health agency, skilled nursing facility, or hospital medical-surgical, within the past five years. Care management experience preferred. Experience as participant in continuous quality improvement preferred.
POSITION REQUIREMENTS (ABILITIES & SKILLS) :
MINIMUM PHYSICAL EXPECTATIONS :
MINIMUM ENVIRONMENTAL EXPECTATIONS :
This job operates in a medical facility and requires regular walking to various locations around the hospital / clinic. Employees will be working where there is patient care equipment. Hazardous materials, including blood borne pathogens and bodily fluids are also present. Exposure to sharps, x-rays, patients' conditions and some unpleasant sights, smells and contagious diseases is possible. This position requires significant interaction with people (many of whom are scared, hurt and / or ill) which can be stressful and result in competing priorities.
PIb387bc2cfa79-30511-38711601
Create a job alert for this search
Care Manager • Ypsilanti, MI, Michigan, United States, 48197
Related jobs
Are you an experienced Registered Nurse looking for a leadership role? Do you have a passion for leading and teaching other skilled nursing staff? The Unit Manager provides, plans, coordinates, or ...Show moreLast updated: 30+ days ago
Job Category : In Home Services.Location : Corporate | CORP, 21700 Northwestern Hwy.Specific Duties and Functions : .Supervises and coordinates Home Care Activities at PACE Southeast Michigan (PACE SEM...Show moreLast updated: 15 days ago
Under the direction of the Foster Care Supervisor, Foster Care Case Managers provide, coordinate and facilitate all services necessary to support the permanency goal for the children in care.Foster...Show moreLast updated: 3 days ago
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Clinton Twp, Michigan.
Job Description & Requirements.Pay package is based on 8 hour shif...Show moreLast updated: 15 days ago
MedPro Healthcare Staffing is seeking a travel nurse RN PACU - Post Anesthesia Care for a travel nursing job in Commerce Township, Michigan.
Job Description & Requirements.Joint Commission-certi...Show moreLast updated: 30+ days ago
ComForCare Home Care is a franchise of premier in-home care providers.We take time to understand the needs of our clients and work diligently to keep them safe at home.
With ComForCare, clients can ...Show moreLast updated: 30+ days ago
When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives.
Not only will you build meaningful relationships wi...Show moreLast updated: 1 day ago
We're Hiring : Healthcare Practice Manager.We are seeking a motivated and skilled.As a key leader, you’ll ensure streamlined workflows, outstanding patient care, and top-level staff performance.This...Show moreLast updated: 25 days ago
Duration : 13 Weeks Contract (Strong Possibility of Extension).Shift : TBD by unit needs - days and afternoons.Provides leadership in the coordination and delivery of quality compassionate patient ca...Show moreLast updated: 1 day ago
Social Worker Care Manager – Collaborative Care Model (CoCM).Care Management / Behavioral Health.The Behavioral Health Care Manager (BHCM) is a key member of the Collaborative Care Model (CoC...Show moreLast updated: 30+ days ago
AHS Staffing is seeking a travel nurse RN CVOR for a travel nursing job in Ann Arbor, Michigan.Job Description & Requirements.
AHS Staffing is looking for a Operating Room - CVOR Registered Nurs...Show moreLast updated: 30+ days ago
Trinity Health FirstChoice is seeking a travel nurse RN PACU - Post Anesthesia Care for a travel nursing job in Chelsea, Michigan.
Job Description & Requirements.Trinity Health FirstChoice Job I...Show moreLast updated: 30+ days ago
Assistant Manager, Customer Care.Leading the future in luxury electric and mobility.At Lucid, we set out to introduce the most captivating, luxury electric vehicles that elevate the human experienc...Show moreLast updated: 16 days ago
Provides assessment and intervention to assist clients / families to improve social and economic difficulties interfering with health and wellness through use of casework process and principles, stra...Show moreLast updated: 1 day ago
Schedule is 5pm to 8am, 7 days on then 7 days off.Administrator, Executive Director or Patient Care Manager Senior.You will act as primary liaison between physician, patient / family and hospice team...Show moreLast updated: 30+ days ago
JOB SUMMARY The Foster Care Case Manager acts as an advocate for children and families by working in conjunction with the state and courts to place abused, neglected or abandoned children into temp...Show moreLast updated: 30+ days ago
Uniti Med is seeking a travel nurse RN Telemetry for a travel nursing job in Clinton Twp, Michigan.Job Description & Requirements.
Uniti Med is looking for a Travel Telemetry RN in Clinton Twp, ...Show moreLast updated: 30+ days ago
The Mopar Repair & NA CE Sales Operations Manager position requires a self-motivated, energetic, results driven individual who is passionate about the automotive industry.Additionally, this candida...Show moreLast updated: 10 days ago
- Promoted
Unit Manager
Regency at WaterfordWATERFORD TOWNSHIP, MI, United StatesFull-time
- Promoted
Home Care Manager
PACE Southeast MichiganSouthfield, MI, USFull-time
- Promoted
Foster Care Case Manager
Archdiocese of DetroitSouthfield, MI, United StatesFull-time
- Promoted
Travel Nurse RN - Case Manager, Utilization Review
GQR HealthcareClinton, MI, USFull-time
- Promoted
Travel Nurse RN - PACU - Post Anesthesia Care
MedPro Healthcare Staffing48382, MI, USFull-time
- Promoted
Senior Care Manager
ComForCareBloomfield Hills, MI, USFull-time
- Promoted
Care Manager
Sunrise Senior LivingWest Bloomfield, MI, United StatesFull-time
Healthcare Practice Manager
MyCareer+Southfield, MI, usFull-time
Quick Apply
- Promoted
Registered Nurse
N2S Healthcare Staffing Solutions LLCBrighton, MI, USFull-time
- Promoted
Social Worker - Care Manager
EPIC Health System LLCSouthfield, MI, USFull-time
- Promoted
Travel CVOR Registered Nurse
AHS StaffingAnn Arbor, MI, USFull-time
- Promoted
Travel Nurse RN - PACU - Post Anesthesia Care
Trinity Health FirstChoiceChelsea, MI, USFull-time
- Promoted
Assistant Manager, Customer Care
Lucid MotorsSouthfield, MI, USFull-time
- Promoted
Social Work Care Manager
McLaren OaklandPontiac, MI, USFull-time
- Promoted
Registered Nurse On Call
Heartland HospiceMonroe, MI, United StatesFull-time
Foster Care & Adoption Case Manager
MCHS Family of ServicesRedford, MI, USPermanent
Quick Apply
- Promoted
Travel Nurse RN - Telemetry
Uniti MedClinton, MI, USFull-time
Mopar Repair and NA Circular Economy GoveRegistered Nurseance Manager
StellantisAuburn Hills, MI, United StatesFull-time