Manager Case and Disease Mgmt

Job Summary - Manager Case and Disease Mgmt

Provides supervision and leadership to the team of Priority Health Case Managers and support staff ensuring department goals and standards are met. Accountable for daily coordination of case/disease/UM functions. Responsible for the operations and acts as a resource and consultant to the team. Provides oversight of processes and procedures to assure that the individuals specific health needs are met to promote the highest quality of care in the most appropriate setting.

Essential Functions - Manager Case and Disease Mgmt

• Oversee supervise and manage daily operations including hiring training coaching and performance evaluation to ensure productivity and quality outcomes.
• Develop and implement training modules to support staff competency and program effectiveness while fostering continuous improvement and professional growth.
• Collaborate with leadership to assess departmental needs research and design new health management programs and oversee implementation and post-launch monitoring.
• Review policies and procedures and ensure compliance with regulatory and accrediting standards while promoting best practices aligned with Priority Healths value proposition.
• Ensure seamless integration of Case Management Disease Management and Utilization Management (as applicable) functions across departments identifying and resolving service barriers.
• Develop measurable outcomes monitor program impact on member health and collaborate with other managers to implement performance monitoring and improvement plans.
• Serve as a resource for internal and external stakeholders participate in presentations and support communication efforts with providers employers and members.
• Support budget planning and management operate within defined financial parameters and utilize internal and community resources effectively to meet departmental goals.

Qualifications - Manager Case and Disease Mgmt

• • Required Bachelors Degree or equivalent in health-related field
  • Preferred Masters Degree for those who do not have MSW MA or MS degree
  • 5 years of relevant experience clinical experience in health services setting Required
  • 3 years of relevant experience managed care and/or case management experience Preferred
  • Strong knowledge of management health care Preferred
  • Knowledgeable on compliance and regulations as it relates to Case Management Programs Preferred
  • LIC-Registered Nurse (RN) - STATEMI State of Michigan Upon Hire preferred Or
  • LIC-Master Social Worker (MSW-Master) - STATEMI State of Michigan Upon Hire preferred
  • CRT-Case Manager Certified (CCM) - CCMC Commission for Case Manager Certification preferred

Physical Demands - Manager Case and Disease Mgmt

• Pallet to Waist (6 from floor) > 5 lbs: Seldom up to 10 lbs
• Waist to Waist > 5 lbs: Seldom up to 10 lbs
• Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
• Waist to Overhead > 5 lbs: Seldom up to 10 lbs
• Bilateral Carry > 5 lbs: Seldom up to 10 lbs
• Unilateral Carry > 5 lbs: Seldom up to 10 lbs
• Pushing Force > 5 lbs: Seldom up to 10 lbs
• Pulling Force > 5 lbs: Seldom up to 10 lbs
• Sitting: Frequently
• Standing: Occasionally
• Walking: Occasionally
• Forward Bend - Standing: Seldom
• Forward Bend - Sitting: Occasionally
• Trunk Rotation - Standing: Seldom
• Trunk Rotation - Sitting: Occasionally
• Reach - Above Shoulder: Seldom
• Reach - at Shoulder or Below: Seldom
• Handling: Occasionally
• Forceful Grip > 5 lbs: Seldom
• Forceful Pinch > 2 lbs: Seldom
• Finger/Hand Dexterity: Frequently

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you like restaurants phone plans spas and more!
• Optional identity theft protection home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

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CURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drug-free workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race color national origin sex disability age religion genetic information marital status height weight gender pregnancy sexual orientation gender identity or expression veteran status or any other legally protected category.

An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling View phone number on drjobpro.com.

Required Experience:

Manager