Manager, Care Management

About Us

Careforth is a pioneer in the caregiving space, supporting family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching, and our proprietary digital collaboration app, we provide caregivers with support, guidance, confidence, and connection to resources they need. The caregivers and families we support stay with Careforth for many years, building lasting relationships along the way. Join us today and live our values: lead with heart, cultivate trust, go beyond.

About the Role

Reporting to the Director, Care Management, the Manager, Care Management is responsible for directing care management operations and leading a team to deliver services that engage, motivate, and educate family caregivers to support complex individuals, keeping care at home. This will initially be a working manager role; the manager will remain hands-on and, at any given time, may perform similar care management work as members of the team to support operational needs, coverage, quality, and service delivery. This individual ensures the delivery of high-quality services in compliance with all state, program, and accreditation requirements.

Responsibilities

• Lead and manage a team of clinical and non-clinical care managers to engage, motivate, and educate family caregivers to support complex individuals, keeping care at home.
• Serve as a working manager by maintaining the ability and willingness to perform similar care management duties as team members when needed, including direct caregiver support, coverage assistance, and operational follow-through.
• Oversee care management functions and ensure consistency and compliance with clinical policy, procedure, and best practices, including regulatory and contractual agreements as well as NCQA accreditation requirements.
• Lead, coach, and develop staff to meet department goals, ensuring key performance indicators and goals are reviewed regularly in support of a high-performance/high-engagement work environment.
• Plan, organize, and oversee timely completion of activities, including assessments, care plans, and discharge planning.
• Implement and interpret organizational and contractual policies and procedures; regularly review work to ensure policies and guidelines are appropriately applied.
• Track and trend outcomes for potential improvements in the care management process. Create monitors, evaluate, and disseminate programmatic reports weekly, monthly, and as needed.
• Provide oversight for the appropriate use of tools and person-centered care plans to support caregiver and care recipient needs; provide regular review of incidents to identify cause and recommend interventions.
• Support and maintain clinical relationships with key external business partners and referral sources to increase care collaboration and foster credibility in our services.
• Review and analyze data (e.g., hospitalization rates, falls, incidents, activation, suspension, and discharge rates) and engage the care management team to determine improvement opportunities and manage interventions.
• Perform other duties and special projects as assigned.

Requirements

• Bachelor’s degree or equivalent work experience, preferably in a healthcare or social services discipline, is required.
• 7+ years of case management experience in healthcare and social services, preferably with experience in eldercare and/or people with disabilities or other complex medical needs.
• 3+ years of experience managing, coaching, or developing staff; 2+ years of program or clinical operations management.
• An active RN license is required. Additional state-specific qualifications may be required.
• Ability to travel (usually by automobile) within the assigned geographic area; valid driver’s license and automobile insurance are required.
• Working knowledge of case management systems, community service and delivery systems, and proficiency with the Microsoft Office suite.
• Candidate must reside in the state of Michigan and be within a reasonable drive to the Detroit office.
• Willingness to take a hands-on approach in a start-up environment, including working directly with caregivers on a temporary basis.

Benefits

At Careforth, your well-being matters. With flexible schedules, a remote-first culture, and a nationally recognized wellness program, our benefits are designed to help you thrive, both professionally and personally. Discover how we invest in you.

Pay

The pay range for this position is $77,000 - $100,000. The actual wage offered may be lower or higher depending on budget and candidate experience, knowledge, skills, qualifications, and geographic location.