Upper Peninsula Health Plan (UPHP)

Community Manager

• Perform assigned clinical functions in accordance with UPHP plans, policies, procedures, and regulatory standards
• Assess, plan, and coordinate medical and supporting services across the continuum of care for selected members
• Conduct required frequent in-person visits with members in homes, nursing facilities, and other care settings
• Serve as the member’s single point of contact and gather health history
• Monitor home environment, community-based service access, and behavioral and health-related social needs
• Assess health status, resource utilization, treatment plans, prognosis, goals, and care options
• Develop individualized plans of care with objectives, goals, and interventions
• Monitor services and referrals to community organizations, medical care, and other providers
• Address member questions and unmet physical, behavioral, and health-related social needs
• Advocate for members and collaborate with care teams, providers, equipment companies, home health agencies, hospitals, and other parties
• Coordinate discharge plans, care plans, acute care, and long-term care services
• Identify and report risk-management and quality concerns
• Participate in departmental and interdepartmental process improvements
• Develop and maintain care-management policies and procedures
• Apply MDHHS, CMS, DIFS, NCQA, and HEDIS standards to clinical and care-management functions
• Provide backup support to other team members
• Attend organizational, departmental, interdisciplinary care team, and clinical program meetings
• Maintain confidentiality of client data
• Travel locally for home visits and periodically to UPHP headquarters in Marquette, Michigan

Explore Community Based Clinical Coordinator – Care Manager at Upper Peninsula Health Plan (UPHP). Review requirements and application details.

Open roles

Community Based Clinical Coordinator – Care Manager