RN Manager, Care Management

Careforth; Detroit (MI); On-site; USD 77,000 - 100,000; Full time

Benefits offered by this job

Remote-friendly culture

Flexible schedules

Wellness program

Job summary

Careforth in Detroit, MI is seeking a Manager, Care Management to lead a team of clinical and non-clinical care managers, ensure high-quality services at home, and maintain compliance with state, program, and accreditation requirements.

This hands-on leadership role combines direct caregiver support with operations oversight, including assessments, care planning, discharge planning, and performance coaching in a start-up environment.

Qualifications

• Bachelor’s degree or equivalent work experience in health care or social services is required with 7+ years of case management experience.
• 3+ years of experience managing, coaching or developing staff; 2+ years of program or clinical operations management
• An active RN license is required. Additional state-specific qualifications may be required.
• Ability to travel within assigned geographic area; valid driver’s license and automobile insurance required
• Working knowledge of case management systems and proficiency with Microsoft Office suite
• Candidate must reside in Michigan and be within a reasonable drive to the Detroit office
• Willingness to take a hands-on approach in a start-up environment, including direct caregiver work when needed

Responsibilities

• Lead and manage a team of clinical and non-clinical care managers to engage, motivate, and educate family caregivers to support complex individuals, keeping care at home
• Serve as a working manager by performing similar care management duties as team members when needed, including direct caregiver support and coverage
• Oversee care management functions ensuring consistency and compliance with clinical policy, procedures, and NCQA requirements
• Lead, coach and develop staff to meet department goals with regular review of KPIs
• Plan, organize, and oversee timely completion of assessments, care plans, and discharge planning
• Interpret policies and ensure proper application across operations
• Track and trend outcomes and create program reports weekly, monthly, and as needed
• Provide oversight for tools and person-centered care plans and review incidents for interventions
• Maintain clinical relationships with partners and referral sources to increase collaboration
• Review data (hospitalization rates, falls, incidents, activations, discharge rates) to identify improvement opportunities
• Perform other duties and special projects as assigned

Skills

Team leadership

Coaching & mentoring

Travel flexibility

Case management

Microsoft Office

Education

Bachelor’s degree or equivalent

RN license

Tools

Case management systems

Microsoft Office

Job description

About Us

A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and our proprietary digital collaboration app, we provide caregivers with support, guidance, confidence, and connection to resources they need. The Caregivers and families we support stay with Careforth for many years, building lasting relationships along the way. Join us today and live our values:

lead with heart, cultivate trust, go beyond.

Position Summary

Reporting to the Director, Care Management, the Manager, Care Management is responsible for directing care management operations and leading a team to deliver services that engage, motivate, and educate family caregivers to support complex individuals, keeping care at home. This will initially be a working manager role; the manager will remain hands-on and, at any given time, may perform similar care management work as members of the team to support operational needs, coverage, quality, and service delivery. This individual ensures the delivery of high-quality services in compliance with all state, program, and accreditation requirements. This individual will manage a team of clinical and non-clinical care managers, providing case management services across the continuum of care (assessment, care planning, care coordination, and monitoring and evaluating services). In collaboration with key stakeholders, this individual will create action plans in support of quality improvement efforts and positive health outcomes.

What You Will Do

• Lead and manage a team of clinical and non-clinical care managers to engage, motivate, and educate family caregivers to support complex individuals, keeping care at home.
• Serve as a working manager by maintaining the ability and willingness to perform similar care management duties as team members when needed, including direct caregiver support, coverage assistance, and operational follow-through.
• Oversee care management functions and ensure consistency and compliance with clinical policy, procedure and best practices, including regulatory and contractual agreements as well as NCQA accreditation requirements
• Lead, coach and develop staff to meet department goals, ensuring key performance indicators and goals are reviewed regularly in support of a high performance / high engagement work environment
• Plan, organize, and oversee timely completion of activities, including assessments, care plans, and discharge planning
• Implement and interpret organizational and contractual policies and procedures; regularly review work to ensure policies and guidelines are appropriately applied
• Track and trend outcomes for potential improvements in the care management process. Create monitors, evaluate and disseminate programmatic reports weekly, monthly, and as needed
• Provide oversight for the appropriate use of tools and person-centered care plans to support caregiver and care recipient needs; provide regular review of incidents to identify cause and recommend interventions
• Support and maintain clinical relationships with key external business partners and referral sources to increase care collaboration and foster credibility in our services
• Review and analyze data (e.g. hospitalization rates, falls, incidents, activation, suspension, and discharge rates) and engage care management team to determine improvement opportunities and manage interventions
• Perform other duties and special projects as assigned

What You Will Bring

• Bachelor’s degree or equivalent work experience preferably in a health care or social services discipline is required along with 7+ years of case management experience in healthcare and social services, preferably with experience in eldercare, and/or people with disabilities or other complex medical needs
• 3+ years of experience managing, coaching or developing staff; 2+ years of program or clinical operations management
• An active RN license is required. Additional state-specific qualifications may be required.
• Ability to travel (usually by automobile) within assigned geographic area; valid driver’s license and automobile insurance is required
• Working knowledge of case management systems, community service and delivery systems, and proficiency with Microsoft Office suite.
• Candidate must reside in the state of Michigan and be within a reasonable drive to the Detroit office.
• Willingness to take a hands-on approach in a start-up environment, including working directly with caregivers on a temporary basis.

You’ll Benefit From

At Careforth your well-being matters. With flexible schedules, a remote-first culture, and a nationally recognized wellness program, our benefits are designed to help you thrive, both professionally and personally. Discover how we invest in you: https://careforth.com/careers/#benefits

The pay range for this position is $77,000 - $100,000. The actual wage offered may be lower or higher depending on budget and candidate experience, knowledge, skills, qualifications, and geographic location.

For more information, please visit www.Careforth.com.

Join Our Award Winning Team

Founded in Boston, Careforth's caregiver programs and services improve health outcomes, keeping care at home longer. Additionally, our programs provide financial benefit to caregivers and cost savings to state agencies and health plans. At Careforth, we understand the challenges of caregiving and are committed to supporting family caregivers at every turn.

Caregivers play a critical role in the future of healthcare and so can you.

Careforth is an Equal Opportunity Employer*

• Careforth supports families with diverse backgrounds and as an equal opportunity employer, we seek employees who reflect the diverse population we serve. Careforth complies with all applicable laws concerning hiring and employment practices and is firmly committed to fostering and maintaining a workplace free from discrimination. We pledge to hire, train, and promote our employees without regard to race, religion, gender, gender identity, genetic information, age, national origin, sexual orientation, disability, veteran status, or any other category protected by applicable law.

Careforth strives to create experiences that are accessible and welcoming to everyone, including making www.careforth.com and the careers site accessible to any and all users. If you would like to contact us regarding the company's diversity, equity and inclusion initiatives, inquire about a specific accessibility need or the accessibility of our website, or if you need assistance completing an application process, please contact People & Culture at 866-797-2333.