MSW Population Health Care Manager (full time days) Various Locations

Clinical/Allied Health
199790 Requisition #

The MSW Population Health Care Manager is an autonomous member of the patient-centered care 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. (Case Management Society of America , 2016) In this capacity the Care Manager addresses the needs of patients who have experienced a critical event or diagnosis that requires complex management strategies and the extensive use of resources.

  • Conducts a comprehensive assessment of patient and family/caregiver’s biomedical, psychological, social and functional needs to gage the potential impact on recovery.
  • Develops personalized patient-centered care plans aimed at improving the patient experience of care.
  • Engages patients as part of the care team through advocacy, ongoing communication, health education, identification of service resources and service facilitation.
  • Utilizes professional judgment, critical thinking, motivational interviewing and self-management techniques to assist patients in overcoming barriers to goal achievement.
  • Provides counseling and interventions related to treatment decisions and end of life issues including Advance Care Planning.
  • Assists patients to seamlessly and safely transition between settings of care.
  • Advocates for appropriate delivery of services within the patient’s health plan benefit structure.
  • Collaborates with appropriate physicians, clinical pharmacists, nurses, therapists and community health workers to co-manage patients with complex medical and social needs.
  • Continually evaluates the patient’s response to the care/treatment plan making modifications when necessary.
  • Plans and participates in process improvement activities designed to reduce risk, inclusive of data collection, analysis and follow-up intervention activities. 
  • Supports department based goals which contribute to the success of the organization.
  • Performs other duties as assigned.


  • Master of Social Work.
  • 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.
  • Computer skills and knowledge including Windows and Microsoft Word.
  • Experience in discharge planning, home health care, rehabilitative medicine, community health or managed care preferred.
  • Knowledge of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles.
  • General knowledge of clinical pharmacology and implications in high-risk populations.
  • Knowledge of medical ethics and legal implications related to case management.
  • Understanding of community resources and the needs of diverse populations.
  • Strong organizational, planning and implementation skills with the ability to handle multiple project and timelines preferred.
  • Creative and resourceful with good negotiating skills preferred.
  • Experience with Excel and Access software applications preferred.
  • Licensed Master of Social Work with a valid, unrestricted State of Michigan license.
  • Certification in Case Management (CCM) by the Commission for Case Management Certification (CCMC) preferred.
    • For current employees, effective 12/25/2016, certification is required by December, 2019.
    • For new hires, certification must be obtained within 3 years from date of hire.


       Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health

       care systems, is a national leader in clinical care, research and education.  The system includes

       the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health

       insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory

       network and many other health-related entities throughout southeast Michigan, providing a

       full continuum of care.  In 2015, Henry Ford provided $299 million in uncompensated care.

       The health system also is a major economic driver in Michigan and employs more than 24,600

       employees.  Henry Ford is a 2011Malcolm Baldrige National Quality Award recipient.  The

       health system is led by President and CEO Wright Lassiter III.  To learn more, visit


       Whether it's offering a new medical option, helping you make healthier lifestyle choices or

       making the employee enrollment selection experience easier, it's all about choice.  Henry

       Ford Health System has a new approach for its employee benefits program - My Choice

       Rewards.  My Choice Rewards is a program as diverse as the people it serves.  There are

       dozens of options for all of our employees including compensation, benefits, work/life balance

       and learning - options that enhance your career and add value to your personal life.  As an

       employee you are provided access to Retirement Programs, an Employee Assistance Program

       (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness,                 and a whole host of other benefits and services.  Employee's classified as contingent status are not         eligible for benefits.    

      Equal Employment Opportunity/Affirmative Action Employer

        Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is

        committed to the hiring, advancement and fair treatment of all individuals without regard to

        race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

        weight, marital status, family status, gender identity, sexual orientation, and genetic information,

        or any other protected status in accordance with applicable federal and state laws.

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