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To provide comprehensive care management services to Michigan Medicine patients with complex medical and psychosocial needs. Works to engage patients with a focus on improving patient experience, strengthening care teams, improving health and reducing costs. Care management of complex patients involves advocacy, collaboration, and organization of patient care activities to facilitate optimal delivery of health care services
Ensure timely and effective communication between patients and care team members, especially during transitions between inpatient, subacute, and community-based settings.
Assist patients achieve optimum health by coordinating services, supporting patient needs, and collaborating with families, providers, and community agencies; assist with calls, benefits applications, and advocacy around resources. Ensuring patients have access to health insurance coverage and benefits
Evaluate patients mental, physical, behavioral, social, cultural, functional, and environmental factors that may affect access to healthcare.
Organize and coordinate care across different disciplines, locations, and levels of care, including facilitating appointment scheduling and arranging non-emergency transportation.
Help identify and advocate for opportunities to enhance quality and effectiveness of care. Clinical and Behavioral Health related.
Serve as a resource and internal consultant regarding care management and community resources to health system staff and departments.
Maintain all required documentation of activities in MiChart.
Attend medical and specialty appointments with patients when appropriate. Complete home visits when indicated and attend community appointments when indicated.
Work closely with PCPs and other healthcare team members, sharing critical patient information and updates.
Attend daily huddles and staff/community meetings as required.
Participate in Quality Improvement activities as assigned.
Bachelor's Degree in Nursing, Social Work, Psychology or other related field.
Two or more years of progressively responsible experience providing care/case management services
Masters level degree in Social Work, Nursing, Psychology or other related field.
Experience working with mental health/substance use disorder
Experience working in a large, academic healthcare setting
Current Case Management certification or the ability to become certified within one year of employment.
This position is covered under the collective bargaining agreement between the U-M and the United Michigan Medicine Allied Professionals (UMMAP), which contains and settles all matters with respect to wages, benefits, hours, and other terms and conditions of employment.
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
The University of Michigan is an equal employment opportunity employer.
A great university is made so by its faculty and staff, and Michigan is recognized as one of the best universities to work for in the country. The Michigan culture is known for engaging faculty and staff in all facets of the university to create a workplace that is vibrant and stimulating.For two consecutive years, the Chronicle of Higher Education has placed U-M in its "Great Colleges to Work For" survey. In particular, the university earns high marks for strong relations between faculty and administrators, a collaborative system of governance, strong pay and benefits, and a healthy work/life balance.