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Coordinates care for members with long-term rehabilitation and/or psychosocial needs related to birth defects, chronic conditions, illness, or injury, with the goal of preventing exacerbations, readmissions, or placement in custodial care. Implements and coordinates case management, psychosocial, and quality-of-life activities across the continuum of care, including consultant referrals, home care visits, community resources, and alternative levels of care. Develops and carries out strategies to coordinate acute and long-term care services for members involved in case and disease management, and provides psychosocial interventions through resource identification, program development, and other means. The role may specialize in a disease area and may consult with other health care professionals. The position manages members with acute or chronic conditions, conducts initial and periodic assessments, and develops individualized case plans for members at risk of poor outcomes. It coordinates with providers and internal care teams, helps members access covered care in home or community settings, and provides education and resources related to social issues, mental health, and available services. The role also develops programs to reduce admissions, improve community integration and health outcomes, coaches junior colleagues, and collaborates with community organizations and policymakers. This is a work-at-home position with 25–50% travel throughout Wayne and Macomb Counties. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. Reliable transportation is required; mileage is reimbursed under the company expense reimbursement policy.
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Job Type
Full-time
Career Level
Mid Level

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