Clinical Case Manager

Muskegon Family Care

Muskegon, Michigan

1 day ago

Job Description

Clinical Case Manager

Muskegon Family Care

2201 S. Getty St.

Muskegon, MI 49444

FULL-TIME: M-F 8 am- 5 pm, NO WEEKENDS, NO HOLIDAYS

Muskegon Family Care is looking for a Full-Time Clinical Case Manager to join our Supportive & Collaborative Team. Muskegon Family Care offers Paid Time Off, Holiday Pay, Vendor Discounts, and a 401K- safe harbor contribution, we match 100% up to 3% employee contribution: 50% for the next 2% employee contribution.

Student Loan Forgiveness:Working with Muskegon Family Care may allow you to participate in programs that forgive the balance of qualifying student loans. Information/eligibility is available from the U.S. Department of Education

Position Overview

Under the supervision of the Medical Director in collaboration with the Clinic Director, the Clinical Case Manager works with patients referred for assistance in accessing and utilizing health care resources due to their complex chronic illness. Clinical Case Manager assist patients with disease education and self –management skills.

Essential Duties and Responsibilities

Identifies the targeted high risk patient population within practice site per PCP referral, risk stratification and patient lists.
Carry an average case load of 150 patients.
Determines patient’s willingness and readiness to work with case management.
Assesses over time the health care, educational, and psychosocial needs of the patient/family and increase case management support during crises.
Coordinates care and educate patients to build trust between patients and medical practitioners and enhances communication and the continuity of care.
Consults with other health care team members to coordinate the services of patient education, preventive care and disease management, and eliminate barriers.
Collaborates with Muskegon Family Care providers and staff to carry out the goals and objectives of MFC in accordance with established plans, policies, and procedures.
Collaborates with all departments on needs for selected patients (Diabetes, Hypertension, Depression, Asthma, and Chronic Pain).
As needed, meets with patients to review medications, address compliance and refill medications (possibly by phone or face-to-face joint visits).
Documents pertinent case activities and findings in a timely and accurate manner.
Acts as an advocate for patient’s health care needs.
Maintains clinical tracking data on chronic disease patients.
Communicate with each provider to determine the best choice to relay recommendations (reminder message vs. other).
Provides appropriate resources for selected patients.
Assists with transition of care.
Assists with Lorenz report data collection.
Works with health Coach for individualized patient plans.
Refers to appropriate MFC programs when needed (BH, MATS, Cooking Class, and Gardening Club).
Responsible for educating current/active patients on in the following: (1) Diabetes; (2) Hypertension; (3) Depression; (4) Asthma; and (5) those on schedule II medications (i.e. Norco, Methadone, Adderall).
Regular and prompt attendance at work.
All other duties as assigned.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Education and Licensure

Current State of Michigan Registered Nurse License.
Current BLS/CR Certification
Five plus years nursing experience, and one plus years clinical case management experience preferred.
Excellent written, verbal, and listening communication skills. Self-initiative.
Experience with diverse cultures, and familiarity with Electronic Health Records.

More about Muskegon Family Care:

MFC is a Federally Qualified Health Center that aims to improve the overall health and wellness of our community by promoting the physical, emotional and spiritual well-being of our families through comprehensive healthcare and other essential services. As a community health center, we provide a range of services far greater than an ordinary doctor's office. We develop programs and services to meet the changing needs of our community, together we create a healthier community.

We commit to serving our patient's and our staff through our ICARE values of innovation, within a compassionate environment for all, providing access to the care needed and treating all with great respect, and offering education opportunities that result in healthy outcomes. We are better together. Teamwork makes the Dreamwork.

Numbers & Facts

Location	Muskegon, Michigan
Website	https://mfc-health.org/careers/

Skills

Basic Life Support (BLS)unmatched
Case Managementunmatched
Chronic Diseaseunmatched
Clinical Dataunmatched
Coachingunmatched
Communication Skillsunmatched
Community Healthunmatched
Consultingunmatched
Cook Dishesunmatched
Data Collectionunmatched
Diabetesunmatched
Diseaseunmatched
Disease Prevention and Controlunmatched
Diversityunmatched
Gardeningunmatched
Health Educationunmatched
Healthcareunmatched
MFC (Microsoft Foundation Class) Libraryunmatched
Medical Officeunmatched
Medical Record Systemunmatched
Medicationsunmatched
Nursingunmatched
Patient Careunmatched
Patient Educationunmatched
Policy Developmentunmatched
Presentation/Verbal Skillsunmatched
Preventive Medicineunmatched
Procedure Developmentunmatched
Registered Nurse (RN)unmatched
Riskunmatched
Team Playerunmatched
Time Managementunmatched
Writing Skillsunmatched

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