Care Manager

🔥 38 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $70k - $87k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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Aledade, Inc.

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2014

🏥 Healthcare

⚕️ Healthcare Insurance

🏢 Enterprise

Healthcare • Healthcare Insurance • Enterprise

Aledade, Inc. is a public benefit corporation that operates as the largest network of independent primary care practices in the United States. The company specializes in Accountable Care Organizations (ACOs), which help primary care practices and health centers improve patient outcomes and generate sustainable revenue through value-based care solutions. Aledade offers data insights, support, and business solutions to achieve sustainability and clinical autonomy. It collaborates with a wide range of healthcare providers, including primary care practices, community health centers, and network ACOs, ensuring improved quality of care and patient satisfaction. With operations in 45 states and affiliations with over 20,000 clinicians serving more than 2. 5 million patients, Aledade is committed to reducing care fragmentation and enhancing the overall quality of life for clinicians and patients alike.

📋 Description

• Provide telephone-based health coaching, quality improvement, and care coordination • Educate patients and provide self-management support tailored to their learning style • Work with patients and caregivers to increase self-efficacy and engagement in care • Coordinate care and serve as an advocate and resource for patients, families, and physicians • Provide care transition planning support and follow-up • Conduct comprehensive assessments of medical, behavioral, pharmaceutical, and social needs • Identify and address care gaps and barriers to improved health • Collaborate with primary care physicians and care teams to identify high-risk patients and design care-plan interventions • Facilitate complex care rounds with the interdisciplinary care team • Support population health care management initiatives • Measure, improve, and maintain clinical, financial, and functional quality outcomes • Develop and execute care plans to reduce unnecessary hospital and specialist utilization • Provide clinical oversight to non-licensed support staff and delegate supportive tasks • Use the Aledade App and real-time data to manage high-risk patients and intervene with high utilizers

🎯 Requirements

• Must hold an active, unencumbered Michigan license as either a Registered Nurse (RN) or a fully licensed Master Social Worker (LMSW) • Resident of Michigan • 3-5 years of direct healthcare experience, preferably in home health, ambulatory care, community public health, case management, or care coordination across multiple settings with multiple providers • Familiarity with the healthcare community being served or commitment to learn through networking and community assessment • Population health and/or telephonic/remote managed care experience • Understanding of quality metrics • Knowledge and experience activating patients and teaching self-management skills • Experience working with vulnerable populations across the lifespan • Competent documenting in electronic health records • Ability to travel up to estimated 10% as needed to office practices and staff retreats within Michigan • Sedentary work on telephone and computer with repetitive movements • Finger dexterity • Proficient communicative, auditory, and visual skills

🏖️ Benefits

• Flexible work schedules and the ability to work remotely are available for many roles • Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners • Robust time-off plan (21 days of PTO in your first year) • Two paid volunteer days and 11 paid holidays • 12 weeks paid parental leave for all new parents • Six weeks paid sabbatical after six years of service • Educational Assistant Program and Clinical Employee Reimbursement Program • 401(k) with up to 4% match • Stock options