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Company: Henry Ford Health System - 2799 W GRAND BLVD
Location: Detroit, MI
Career Level: Mid-Senior Level
Industries: Recruitment Agency, Staffing, Job Board

Description

    Job Details
  • The Integrated Case Manager for Population Health is an interdependent member of the patient-centered care team.
  • Responsible for the collaborative practice of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual's health care needs.
  • Provides services to patients from ambulatory, inpatient or health plan settings.
  • Conducts a comprehensive assessment of patient and family/caregiver's needs to gauge the potential impact on recovery.
  • Develops personalized patient-centered care plans aimed at optimizing the patient's care experience.
  • Engages patients and their families as part of the care team through ongoing communication, health education, and service facilitation.
  • Utilizes judgment, critical thinking, and motivational interviewing techniques to assist patients in overcoming barriers.
  • Provides counseling and interventions related to treatment decisions and end of life issues including Advanced Care Planning.
  • Advocates for appropriate delivery of services within the patient's health plan benefit structure.
  • Evaluates the patient's response to the care/treatment plan and makes necessary modifications.
    Job Requirements
  • Experience in discharge planning, home health care, rehabilitative medicine, community health or managed care preferred.
  • Knowledge of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations, and case management principles.
  • Knowledge of medical ethics and legal implications related to case management.
  • Understanding of social determinants of health and their impact on a patient's wellbeing.
  • Strong organizational, planning and implementation skills with the ability to handle multiple complex patient needs simultaneously.
  • Strong sense of compassion with the ability to successfully advocate for patients and their families.
    Additional Details
  • Excellent verbal communication and written documentation skills.
  • Excellent customer service and interpersonal skills including the ability to interact with all levels of the organization.
  • Strong computer skills and knowledge.
  • Well versed in facilitating community resources to meet the needs of diverse populations.
  • Must meet or exceed core customer service responsibilities, standards and behaviors.
  • Demonstrates flexibility in an environment of constant change.
  • Work in a clinical environment with potential exposure to communicable disease.


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