Population Health Care Manager
Priority Health
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Vantaggi offerti da questo lavoro
Descrizione del lavoro
Corewell Health in Grand Rapids is seeking a care management professional to plan and prioritize care for individuals and populations, leveraging preventive care to improve outcomes. You will collaborate with providers, community organizations, and systems to connect members to needed resources for health and wellbeing.
The role requires a nursing or social work background with LMSW/CM qualifications, strong collaboration across care teams, and commitment to evidence-based practice in a managed
Competenze
- Bachelor's Degree or equivalent Nursing or a health care related field
- Master's Degree Social work
- 5 years of relevant experience LMSW - clinical and/or case management/managed care or related field OR Clinical Nursing and /pr case management/managed care or related field
- Master Social Worker (MSW-Master) - State of Michigan Upon Hire required Or
- Registered Nurse (RN) - State of Michigan Upon Hire required
- Case Manager, Certified (CCM) - CCMC Commission for Case Manager Certification Upon Hire preferred
Mansioni
- Develops and prioritizes plans to meet needs and provides services.
- Develops plan of care and makes recommendations to PCPs, specialists and other members of the health care team.
- Assess internal and external referrals to meet identified member and their family's needs, level of intensity, mandated reporting referrals, insurance benefits, and other member resources.
- Communicates and collaborates with member/significant others/providers/payers to coordinate services that improve access to appropriate services across the continuum of care.
- Measure member care outcomes, interprets reports, and analyzes data trends for groups of members.
- Documents member data, plan, interventions and outcomes according to department guidelines.
- Ensures processes and services are continuously monitored for quality, cost effectiveness, and efficiency, Engages in process and quality improvement activities.
- Assesses the educational needs of members, families and members of the health care team and develops and implements appropriate teaching strategies or makes referrals.
Formazione
Descrizione del lavoro
Corewell Health in Grand Rapids is seeking a care management professional to plan and prioritize care for individuals and populations, leveraging preventive care to improve outcomes. You will collaborate with providers, community organizations, and systems to connect members to needed resources for health and wellbeing.
The role requires a nursing or social work background with LMSW/CM qualifications, strong collaboration across care teams, and commitment to evidence-based practice in a managed
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