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Care Manager
Aledade, Inc.. Provide telephone-based health coaching, quality improvement, and care coordination .
Posted 10/5/2026full-timeRemote • Michigan • United StatesMid-LevelSenior💰 $70,000 - $87,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in telephone-based health coaching, care coordination, and patient education, with a strong focus on self-management support and quality improvement. Proficient in collaborating with interdisciplinary teams to enhance patient engagement and care outcomes.
Highest-signal resume keywords
Registered Nurse (RN) LicenseMaster Social Worker (LMSW) LicensePopulation Health ManagementCare Coordination ExperienceElectronic Health Records Documentation
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Health CoachingCare CoordinationPatient EducationQuality ImprovementComprehensive AssessmentsCare Transition PlanningSelf-Management SupportCare Plan DevelopmentData ManagementQuality Metrics Understanding
Soft Skills
Communication SkillsInterpersonal SkillsAdvocacyCollaborationProblem-Solving
Tools & Technologies
Aledade AppElectronic Health Records
Certifications & Qualifications
Active Michigan RN LicenseActive Michigan LMSW License
Industry Keywords
Home HealthAmbulatory CareCommunity Public HealthCase ManagementVulnerable Populations
About the role
Key responsibilities & impact- Provide telephone-based health coaching, quality improvement, and care coordination
- Educate patients and provide self-management support tailored to their learning style
- Work with patients and caregivers to increase self-efficacy and engagement in care
- Coordinate care and serve as an advocate and resource for patients, families, and physicians
- Provide care transition planning support and follow-up
- Conduct comprehensive assessments of medical, behavioral, pharmaceutical, and social needs
- Identify and address care gaps and barriers to improved health
- Collaborate with primary care physicians and care teams to identify high-risk patients and design care-plan interventions
- Facilitate complex care rounds with the interdisciplinary care team
- Support population health care management initiatives
- Measure, improve, and maintain clinical, financial, and functional quality outcomes
- Develop and execute care plans to reduce unnecessary hospital and specialist utilization
- Provide clinical oversight to non-licensed support staff and delegate supportive tasks
- Use the Aledade App and real-time data to manage high-risk patients and intervene with high utilizers
Requirements
What you’ll need- Must hold an active, unencumbered Michigan license as either a Registered Nurse (RN) or a fully licensed Master Social Worker (LMSW)
- Resident of Michigan
- 3-5 years of direct healthcare experience, preferably in home health, ambulatory care, community public health, case management, or care coordination across multiple settings with multiple providers
- Familiarity with the healthcare community being served or commitment to learn through networking and community assessment
- Population health and/or telephonic/remote managed care experience
- Understanding of quality metrics
- Knowledge and experience activating patients and teaching self-management skills
- Experience working with vulnerable populations across the lifespan
- Competent documenting in electronic health records
- Ability to travel up to estimated 10% as needed to office practices and staff retreats within Michigan
- Sedentary work on telephone and computer with repetitive movements
- Finger dexterity
- Proficient communicative, auditory, and visual skills
Benefits
Comp & perks- Flexible work schedules and the ability to work remotely are available for many roles
- Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
- Robust time-off plan (21 days of PTO in your first year)
- Two paid volunteer days and 11 paid holidays
- 12 weeks paid parental leave for all new parents
- Six weeks paid sabbatical after six years of service
- Educational Assistant Program and Clinical Employee Reimbursement Program
- 401(k) with up to 4% match
- Stock options