Population Health Manager

2 weeks ago

Center Line, MI, United States MyCare Health Center Full time
GENERAL DESCRIPTION: The Population Health Manager will coordinate population health management where a patient's health and potential risks are considered within a population they are part of. They are responsible for the successful planning and execution of key strategic activities that will enable the advancement of high-performance value based care (VBC) operations, Managed Care Organization (MCO) collaboration, and VBC quality metrics. This position supervises the Community Health Workers (CHW) to ensure increased access to health services for patients through outreach, encouraging engagement, education, and peer support.

SPECIFIC DUTIES:
  1. Monitor the outcomes of all value-based payer programs and identify strategies to improve the level of compliance for the defined measures.
  2. Utilizes clinical data for specific patient populations to identify gaps and develop strategies to mitigate gaps in care.
  3. Identify patient needs to develop a plan of care as defined by measurable goals.
  4. Provide appropriate patient education for identified patients and specific populations.
  5. Link patients with community resources to facilitate referrals and respond to social service needs.
  6. Supervise and oversee the day-to-day activities of CHWs, offering guidance and ensuring they have the resources and training necessary to implement evidence-based practices in their work.
  7. Participates in Quality Improvement (QI) activities that include identifying clinical opportunities for improvement, including performing QI audits for compliance with collaborative measures.
  8. Track progress on current quality improvement initiatives, collaborating with care teams to implement changes as needed. Provide resources and answer questions from staff related to quality improvement projects.
  9. Under the direction of the Director of Quality and Compliance, monitors utilization and service quality through HEDIS quality measures, payer/provider agreements, patient satisfaction surveys and complaints.
  10. Facilitate strategic relationships with Managed Care Organizations (MCOs) to optimize opportunities for quality incentives and cost containment utilizing programs, networks, and services.
  11. Ensure that managed care organizations have accurate and up-to-date information regarding population management and sharing information. Manage and update external databases when necessary.
  12. Assist with the preparation of data for required reporting including annual UDS and PCMH reporting.
  13. Other duties as required.
KNOWLEDGE, SKILLS, AND ABILITIES:
  • Must demonstrate excellent interpersonal skills and team-building skills;
  • Must have excellent decision-making skills, and attention to detail is imperative;
  • Professional written, verbal and listening communication skills;
  • Excellent computer skills including expert knowledge of Microsoft Office suite including Excel and Outlook, and Electronic Health/Medical Records.
  • Database management proficiency required; data entry skills required;
  • High functioning stress management, time management, and critical thinking skills are necessary for success in this role;
  • Federally Qualified Health Center experience preferred, but not required.
PERSONAL ATTRIBUTES:
  1. Must maintain strict confidentiality in performing the assigned duties.
  2. Must be honest and trustworthy, respectful of others.
  3. Must be flexible and possess cultural awareness and sensitivity.
MINIMUM QUALIFICATIONS:
  1. Health care related degree required (Associates degree at minimum);
  2. Licensed Practical Nurse (LPN) or Licensed Registered Nurse (RN) preferred;
  3. Knowledge of managed care and value-based agreements;
  4. Demonstrated knowledge of Population Health Management, Patient Centered Medical Home concepts (PCMH), UDS, and HEDIS preferred.
  5. Minimum of two years of experience working with a multi-disciplinary team in a health care setting;
  6. Prior experience working with diverse population groups;
  7. Excellent verbal and written communication skills, attention to detail and high level of customer service skills;
  8. Must be able to travel between sites as needed and as otherwise required;
  9. CPR certification required


BENEFITS:

*After 90 Days of Employment, benefits may vary based on employment status
  • Student loan forgiveness programs (based on position and available federal programs)
  • 11 Paid Holidays Annually (1 floating)
  • Up to 160 hours of annual PTO (based on start date)
  • Affordable premiums for medical, dental, and vision insurance coverage for individuals and families
  • No cost life insurance coverage (additional coverage optional for a fee)
  • Long term disability insurance
  • 401K and Roth 401k retirement plans with discretionary employer match
  • Flexible Spending Account (FSA)
  • Short term disability insurance (optional for a fee)
  • Employee Assistance Program (EAP)


MyCare Health Center is an Equal Opportunity Employer. Applicants will be considered for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristics protected by applicable law.

  • C2C LMSW/LPC Case Manager

    1 week ago

    Center Line, MI, United States MyCare Health Center Full time

    Licensed Master Social Worker (LMSW) or Licensed Professional Counselor (LPC) license is required. GENERAL DESCRIPTION: The C2C LMSW Case Manager is a split position with .5 FTE dedicated to providing comprehensive case management and care coordination services to individuals with chronic or complex physical and/or behavioral health needs, with a focus on...

  • C2C LMSW/LPC Case Manager

    6 days ago

    Center Line, MI, United States MyCare Health Center Full time

    Licensed Master Social Worker (LMSW) or Licensed Professional Counselor (LPC) license is required. GENERAL DESCRIPTION: The C2C LMSW Case Manager is a split position with .5 FTE dedicated to providing comprehensive case management and care coordination services to individuals with chronic or complex physical and/or behavioral health needs, with a focus on...

  • C2C LMSW/LPC Case Manager

    6 days ago

    Center Line, MI, United States MyCare Health Center Full time

    Licensed Master Social Worker (LMSW) or Licensed Professional Counselor (LPC) license is required. GENERAL DESCRIPTION: The C2C LMSW Case Manager is a split position with .5 FTE dedicated to providing comprehensive case management and care coordination services to individuals with chronic or complex physical and/or behavioral health needs, with a focus on...

  • C2C LMSW/LPC Case Manager

    1 week ago

    Center Line, MI, United States MyCare Health Center Full time

    Licensed Master Social Worker (LMSW) or Licensed Professional Counselor (LPC) license is required. GENERAL DESCRIPTION: The C2C LMSW Case Manager is a split position with .5 FTE dedicated to providing comprehensive case management and care coordination services to individuals with chronic or complex physical and/or behavioral health needs, with a focus on...

  • Travel Nurse RN

    6 days ago

    Center Line, MI, United States First Connect Health Full time

    First Connect Health is seeking a travel nurse RN Case Management for a travel nursing job in Warren, Michigan. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 12/29/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Title- (RN) - Case Manager Facility name- Henry Ford Health System...

  • Travel Nurse RN

    4 days ago

    Center Line, MI, United States First Connect Health Full time

    First Connect Health is seeking a travel nurse RN Case Management for a travel nursing job in Warren, Michigan. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 12/29/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Title- (RN) - Case Manager Facility name- Henry Ford Health System...

  • Travel Nurse RN

    17 hours ago

    Center Line, MI, United States First Connect Health Full time

    First Connect Health is seeking a travel nurse RN Case Management for a travel nursing job in Warren, Michigan. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 12/29/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Title- (RN) - Case Manager Facility name- Henry Ford Health System...

  • Travel Nurse RN

    1 day ago

    Center Line, MI, United States First Connect Health Full time

    First Connect Health is seeking a travel nurse RN Case Management for a travel nursing job in Warren, Michigan. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 12/29/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Title- (RN) - Case Manager Facility name- Henry Ford Health System...

  • Registered Dental Hygienist

    1 week ago

    Center Line, MI, United States MyCare Health Center Full time

    $3500 Signing Bonus Plus Competitive Hourly Pay, Benefits, and PTO MyCare Health Center is seeking a full time Registered Dental Hygienist responsible for the direct provision of oral hygiene and appropriate preventive services to dental patients of the practice. The Registered Dental Hygienist will also be responsible for providing appropriate oral health...

  • Registered Dental Hygienist

    18 hours ago

    Center Line, MI, United States MyCare Health Center Full time

    $3500 Signing Bonus Plus Competitive Hourly Pay, Benefits, and PTO MyCare Health Center is seeking a full time Registered Dental Hygienist responsible for the direct provision of oral hygiene and appropriate preventive services to dental patients of the practice. The Registered Dental Hygienist will also be responsible for providing appropriate oral health...