RN Manager, Care Management

• 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

• Bachelors 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 drivers 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.

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: pay range for this position is $77000 - $100000. The actual wage offered may be lower or higher depending on budget and candidate experience knowledge skills qualifications and geographic location.