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Detroit Wayne Integrated Health Network
Detroit Wayne Integrated Health Network
201 – 500 Employees
HealthcareMental HealthNon-profit
Detroit Wayne Integrated Health Network is a healthcare safety-net organization serving Wayne County through integrated mental health and behavioral health services. Its programs include crisis response, support for people living with mental illness, autism services, and substance use disorder treatment, bringing coordinated care and community support together to help improve members’ well-being and quality of life.
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Complex Case Coordinator - Detroit, MI Hybrid

Coordinate integrated behavioral health services for Detroit Wayne members across assessments, care transitions, community referrals, and compliance requirements.

USUnited StatesMIMichiganHybridFull-timeMiddleSeniorEnglish RequiredCase CoordinatorGeneral

Description

  • Oversee care coordination initiatives
  • Advance integrated service delivery across DWIHN, its provider network, and the broader healthcare community
  • Apply NCQA standards for Complex Case Management
  • Manage an assigned caseload of DWIHN members
  • Complete required MHWIN documentation within established deadlines
  • Meet members in hospitals and community-based settings
  • Complete assessments and care plans within required deadlines
  • Identify eligible members using inpatient hospital, EMS, PHQ, hospital recidivism, and other referral data
  • Lead outreach, education, and marketing efforts for Wayne County community providers
  • Process complex case management referrals within designated time frames
  • Prepare weekly and monthly reports
  • Support care transitions for members leaving acute care settings
  • Maintain consolidated member lists and data for reporting purposes
  • Coordinate with community-based member care teams
  • Link members with community resources and healthcare providers
  • Help members apply for health benefits, SSI, Bridge Card, and related assistance
  • Participate in care review mock audits and record reviews
  • Coordinate care for members who do not qualify for Complex Case Management
  • Attend weekly team, all-staff, DWIHN, designated CRSP/COPE/Children/Hospital Liaison meetings, and required training
  • Complete other related duties as assigned

Requirements

  • Bachelor’s degree in social work, psychology, counseling, nursing, human services, social services, public health, public administration, healthcare administration, health management, or a related discipline
  • Four years of full-time paid professional experience in human services, social services, mental health, or behavioral health
  • Licensed Bachelor’s Social Worker (LBSW) credential or a higher-level license
  • Valid Michigan driver’s license and a safe, acceptable driving record
  • Familiarity with DWIHN policies, procedures, operations, provider network, and community resources
  • Understanding of the Michigan Mental Health Code, MDHHS policies, and applicable federal policies, regulations, rules, and procedures
  • Knowledge of MHWIN, the LOCUS model, clinical care processes, adult continuums of care, integrated care services, Medicaid, Medical Necessity Criteria, ASAM, DSM-V, NCQA standards, CMHSPs, and PIHPs
  • Strong assessment, evaluation, detail management, time management, report writing, critical thinking, interpersonal, communication, active listening, computer, and teamwork abilities
  • Proficiency in Microsoft Word, Excel, Access, PowerPoint, Outlook, and Teams
  • Ability to communicate effectively in writing and verbally while working with diverse populations
  • Sound judgment and reasoning skills
  • Proof of full COVID-19 vaccination required for employment, subject to legally required accommodations or exemptions

Benefits

  • Remote work may be available with supervisory approval
  • Medical or religious accommodations and other legally required COVID-19 vaccination exemptions are available
  • Equal opportunity employer

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