Care Manager - Geriatric Primary Care Schoolcraft

Trinity Health MI; Livonia (MI); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

Day-one benefits

Outpatient schedule

Collaborative team environment

Career growth

Meaningful work

Job summary

Trinity Health IHA Medical Group is seeking a compassionate Care Manager to join our outpatient care team. You will help patients navigate their healthcare journey through clinical triage, care coordination, patient education, and ongoing support that improves outcomes and enhances the patient experience.

The role requires a graduate of an accredited RN program with a Michigan license and CPR certification; CCM/CCP preferred.

Qualifications

• Graduate of an accredited Registered Nurse program.
• Valid, unrestricted RN license in the State of Michigan. Valid CPR certification. Prefer CCM/CCP certification.
• 3-5 years of clinical experience with oncology patients in primary care/ambulatory care, home health agency, skilled nursing facility, or hospital, within the past five years.

Responsibilities

• Collaborates with health care team and patient to ensure delivery of quality, efficient, patient-centered, and cost-effective healthcare services.
• Assists patients at risk for chronic conditions by providing self-management support and education; empowers patients to manage their health.
• Provides targeted interventions to avoid hospitalization and ED visits; triages in specialty populations per established protocols.
• Assesses, plans, implements, monitors, and evaluates delivery of individualized patient care to optimize health status.
• Participates in outreach and engagement of hospitalized patients to assist with care transition and reduce readmissions.
• Coordinates care across the continuum, promotes efficient resource use, and collaborates to achieve optimal outcomes.

Skills

Care coordination

Patient education

Self-management support

Triage

Education

RN degree

Job description

Description

Trinity Health IHA Medical Group is seeking a compassionate and patient-focused Care Manager to join our outpatient care team. In this role, you'll help patients navigate their healthcare journey through clinical triage, care coordination, patient education, and ongoing support that improves outcomes and enhances the patient experience.

Employment Type

Full time

Shift

Day Shift

What You'll Do

• Collaborates 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.
• 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.

What We're Looking For

• EDUCATION: Graduate of an accredited Registered Nurse program.
• CREDENTIALS/LICENSURE: Valid, unrestricted RN license in the State of Michigan. Valid CPR certification. Prefer CCM/CCP certification.
• MINIMUM EXPERIENCE: 3-5 years of clinical experience with oncology patients in primary care/ambulatory care, home health agency, skilled nursing facility, or hospital, within the past five years: knowledge of chronic conditions, evidence-based guidelines, prevention, wellness, health risk assessment, and patient education.

Why Join Trinity Health IHA Medical Group?

• Day-one benefits with no waiting period for eligible colleagues.
• Predictable outpatient schedule with a focus on work-life balance.
• Collaborative team environment with strong provider partnerships.
• Career growth, development, and advancement opportunities.
• Meaningful work improving the health of patients and communities across Southeast Michigan.

About Us

At Trinity Health IHA Medical Group, we're committed to delivering exceptional care through our core values of Commitment, Advocacy, Respect, Efficiency, and Service. If you're passionate about patient-centered care and want to make a difference every day, we'd love to have you join our team.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.