Integrated Case Manager - Case Management - Contingent / Varied - Allegiance Health - Jackson, MI

Henry Ford Hospital Jackson , MI 49201

Posted 3 weeks ago

The Integrated case Manager for Population Health is an interdependent member of the patient-centered care team or treatment team responsible for the collaborative practice of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual's and family's comprehensive health care needs though communication and available resources to promote patient safety, quality of care and cost effective outcomes. Addresses the needs of patients who have experienced a critical event or diagnosis that requires complex management strategies and the extensive use of resources to optimize health outcomes along the care continuum. Provides services to patients from ambulatory, inpatient or health plan settings.

Specific duties and responsibilities related to hospital case management and complex discharge planning:

Coordinates/facilitates patient care progression throughout the continuum by working collaboratively and maintaining active communication with physician, nursing, and other members of the multi-disciplinary team to effect timely, appropriate patient management, including ambulatory and health plan case management where appropriate

Participates in discharge planning activities including consultation with appropriate internal and external healthcare providers, agencies, and payers to plan and execute a safe and timely transition of care

Anticipates and collaborates with the multidisciplinary team to address psychosocial and/or financial barriers that may impact or delay the discharge plan or interfere with medical compliance

Participates in and conducts interprofessional, patient, family and caregiver meetings that promote shared-decision making

As subject matter expert for post-acute care discharge options, assists the treatment team, patient and family in selecting the appropriate discharge disposition


Bachelor's degree in nursing (BSN) or related professional field (i.e. social work, counseling, health education, etc.) or a Master's Degree of Social Work (MSW)

Minimum (3) three years of clinical experience

Excellent verbal communication and written documentation skills

Excellent customer service and interpersonal skills including the ability to interact with internal and external customers and all levels of the organization

Strong problem-solving, analytical and decision-making skills

Strong computer skills and knowledge

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

Well versed in facilitating community resources to meet the needs of diverse populations

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


Registered Nurse (RN) or a Licensed Social Worker (LMSW) with a valid, unrestricted State of Michigan license

For current employees, effective date 10/31/2019, certification is required by December 2023

For new hires, certification must be obtained within three (3) years from date of hire


Experience in discharge planning, home health care, rehabilitative medicine, community health or managed care

Certification in Case Management (CCM) by the Commission for Case Management Certification (CCMC)

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