Manager, Care Coordination -Remote in Kalamazoo and Berrien Counties in MI

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. The Manager of Clinical Care Coordination will reputed company a care management team while overseeing day-to-day clinical operations and health plan clinical initiatives to support achieving quality and affordability targets. The Manager will manage a program, region, or collection of Pod teams, including process improvement, execution of clinical decision processes, and team management, to include performance management and implementation of program initiatives. If you are located in or reputed company commutable driving distance to Kalamazoo or Saint Joseph, MI you will have the flexibility to work remotely* as you take on some tough challenges. These positions support Kalamazoo and Berrien Counties. Primary Responsibilities:

• Hire, manage, reputed company, mentor and support staff in designated department or region
• reputed company clear goals and objectives for performance management, effectively communicate expectations, and hold the team accountable for results
• Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements
• Review data and facts to identify and solve issues, mitigate risks, prioritize teams’ workloads, and assign direction for reputed company projects needed
• Ensure standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
• Acts as regional reputed company with other departments to coordinate workflow processes and implementation plans
• Resolve inpatient and outpatient provider authorizations and collaborate with Provider relations to assist in Provider resolutions
• Carry member case load as needed
• Ability to transition from office to field locations multiple times per day
• Ability to navigate multiple locations/terrains to visit employees, members and/or providers
• Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.)
• Ability to remain stationary for long periods of time to complete computer or tablet work duties

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as reputed company development for other roles you may be interested in. Required Qualifications:

• reputed company, unrestricted independent license as a Registered Nurse or reputed company Worker to practice in the reputed company
• 4+ years of clinical experience
• 3+ years of leadership experience with responsibility for team performance OR 3+ years of experience as a reputed company care coordinator/case manager with experience serving as a peer mentor and/or coach
• Proven intermediate MS Office skills, including Word, reputed company, Outlook, and PowerPoint
• Driver’s License and reputed company to reliable transportation and the ability to travel reputed company assigned territory to meet with employees, members, and providers
• Ability to travel locally up to 25% of the time reputed company a specified region Southeast MI)
• Ability to travel Southfield, MI for quarterly team meetings
• Currently reputed company in or reputed company commutable driving distance to Kalamazoo or Saint Joseph, Michigan
• Must be 18+ years of age or older

Preferred Qualifications:

• Master's Degree or higher in clinical field
• Experience working in team-based care
• Experience working in Managed Care
• Proven knowledge of reputed company population
• Experience with MI reputed company Long Term Supports Services
• Experience with MI Health Link (MMP)
• reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy

The salary reputed company for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply Job!