Provide leadership and oversight for the Case Management Department, including care managers and care coordination staff.
Manage and oversee case management services for patients with primary-care-sensitive chronic illnesses to reduce preventable hospitalizations.
Guide program focus on patient self-management and self-care related to CHF, Asthma, COPD, Behavioral health, and Diabetes Mellitus.
Ensure patients receive appropriate education and support for Advance Care Planning initiatives.
Collaborate closely with primary care providers, clinical leadership, and interdisciplinary healthcare team members to ensure coordinated and comprehensive care.
Work collaboratively with the Health Home Supervisor
Support, mentor, and evaluate care management staff to promote professional growth, accountability, and high-quality performance.
Oversee and assist with clinical workflows including transitional care management calls, quality improvement initiatives, and population health projects.
Monitor program outcomes, quality metrics, and compliance with CMS and payer requirements.
Identify opportunities for program improvement, expansion, and operational efficiencies.
Participate in strategic planning, staff meetings, and organizational initiatives related to care management and population health.
Our Mission and Vision
Our mission is to deliver high-quality, community oriented, patient-centered health services for all.
Our vision is to provide accessible, compassionate, high-quality healthcare for all, fostering a healthier community.
Guided by these commitments, we uphold what is right and ensure every individual is treated with dignity and respect.
Together, we support MidMichigan Community Health Services in fulfilling its purpose of meeting the health needs of our patients and the communities we serve.
Requirements and Qualifications
Strong expertise in care coordination, population health management, and preventative health services.
Demonstrated leadership and management experience in a clinical or care management setting.
Excellent communication, interpersonal, and team-building skills.
Proficiency with electronic medical records and clinical documentation standards.
Knowledge of CMS required elements and Medicare clinical preventative services.
Ability to develop, implement, and monitor protocols and standing orders to close quality gaps.
Strong organizational and time-management skills with the ability to prioritize departmental and organizational needs.
Ability to work independently while fostering collaboration across clinical teams.
Willingness to travel and provide oversight across all clinic locations (Houghton Lake, Beaverton, and Roscommon).
Commitment to maintaining patient and employer confidentiality in compliance with HIPAA regulations.
Educational Requirements
Bachelor's degree in nursing.
2 years of clinical nursing experience in primary care, community health nurse or home health preferred.
Maintain annual competencies for this role.
Basic Life Support.
Motivational Interviewing.
Job Description
We are seeking an experienced Case Management Manager to lead and oversee our Case Management and Medicare Wellness Department.
In this leadership role, you will be responsible for the strategic direction, daily operations, continued growth of the case management program as well as manage a small panel of patients or provide coverage if needed.
The manager will ensure the delivery of high-quality, patient-centered care coordination services while supporting staff development, program expansion, and quality improvement initiatives.
This role is ideal for a clinical leader with strong case management experience who is passionate about improving patient outcomes, reducing preventable hospitalizations, and strengthening care delivery systems.