Field-Based RN Care Coordinator (Medicaid)

Upper Peninsula Health Plan (UPHP); Marquette (MI); Vor Ort; USD 34.000 - 47.000; Vollzeit

Zusammenfassung

Upper Peninsula Health Plan (UPHP) is seeking a Clinical Coordinator - Care Manager Medicaid to lead comprehensive care management for diverse member populations. This role emphasizes assessing health needs, developing person-centered care plans, and coordinating with community services to improve outcomes.

The role requires Michigan RN licensure, strong communication skills, and willingness to travel to member homes and facilities.

Qualifikationen

• Licensed RN required in Michigan.
• Bachelor of Science in Nursing or social work qualifications preferred.
• Two years clinical or health-related RN or social work experience.
• Experience in care management or reviewing data is a plus.
• Valid Driver's License with proof of insurance and active vehicle.

Aufgaben

• Perform face-to-face member visits across multiple care settings.
• Develop and maintain person-centered care plans with clear goals.
• Coordinate services and referrals with community organizations and healthcare providers.
• Assess health status, prognosis, and treatment options to guide care plans.
• Identify barriers to care and advocate for member needs.
• Maintain confidentiality and comply with UPHP policies and NCQA standards.

Kenntnisse

Keyboarding proficiency

MS Word and Excel

Excellent communication

Organizational skills

Prioritization abilities

Ausbildung

Licensed registered nurse

BSN or social work degrees preferred

Tools

MS Office (Word, Excel)

MS Access

PowerPoint

Jobbeschreibung

Upper Peninsula Health Plan (UPHP) is seeking a Clinical Coordinator - Care Manager Medicaid to lead comprehensive care management for diverse member populations. This role emphasizes assessing health needs, developing person-centered care plans, and coordinating with community services to improve outcomes.

The role requires Michigan RN licensure, strong communication skills, and willingness to travel to member homes and facilities.