Jobs and Careers
UP
Remote Community Based Clinical Coordinator - Care Manager - Otsego County, MI
Upper Peninsula Health Plan (UPHP)Bagley, Michigan, United States, United StatesRemotefull_timeVerifiedPosted 12 Aug 2026
About the role
Location: Bagley,Michigan,United States
**Recruiting in the County of Otsego, Michigan.**
This is a remote employment opportunity, providing services to UPHP members throughout the Eastern Upper Peninsula counties. Frequent travel to meet with members is required, along with periodic travel to UPHP’s headquarters in Marquette, Michigan.
Why join UPHP? This full-time remote position offers competitive pay, comprehensive health insurance, a 401(k), Student Loan Repayment Programs, Tuition Reimbursement opportunities, a $5,000 sign-on bonus for eligible new hires, 12 paid holidays, and no mandatory overtime, nights, or weekend hours.
DATE: August 13, 2026
POSITION: Remote Community Based Clinical Coordinator - Care Manager
DEPARTMENT: Clinical Services
RATE: $29.72 per hour, with potential for additional compensation based on qualifications.
POSITION SUMMARY:
Performs assigned clinical functions in accordance with Upper Peninsula Health Plan (UPHP) plans, policies, and procedures, and all state and federal accrediting and regulatory standards. Performs care management duties to assess, plan, and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Follows established UPHP policies and procedures, objectives, safety standards, and sensitivity to confidential information.
2. Performs all assigned tasks in accordance with UPHP plans, policies, and procedures; National Committee for Quality Assurance (NCQA) standards; and all regulatory requirements.
3. Performs required, frequent in-person visits with members in various care settings including member homes and nursing facilities. Serves as a member’s single point of contact; gathers vital health history and monitors the member’s home environment, access to community-based services, and behavioral and health related social needs.
4. Assesses members’ current health status, resource utilization, past and present treatment plan and services, prognosis, short and long-term goals, and treatment and provider options. Develops plans of care based upon assessment with specific objectives, goals, and interventions designed to meet member needs.
5. Monitors delivery of services and referrals made to community-based organizations, medical care, and other services to support the members’ overall care management plan.
6. Applies critical thinking skills to address member questions and unmet physical, health related social needs, and behavioral health care needs.
7. Works as a member advocate and collaborates with support teams, medical care offices, medical equipment companies, home health agencies, hospital care teams, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long-term care services.
8. Identifies related risk management and quality concerns and reports these scenarios to the appropriate body.
9. Participates in departmental and interdepartmental process improvements, recommending improvements as opportunities are identified, and assists in the development and maintenance of policies and procedures related to care management in accordance with regulatory requirements and accrediting standards.
10. Demonstrates knowledge of all clinical Michigan Department of Health and Human Services (MDHHS), Centers for Medicare and Medicaid Services (CMS), and Department of Insurance and Financial Services (DIFS) standards; all applicable NCQA Utilization Management (UM), Quality Improvement (QI), Care Management, and Member's Rights and Responsibility (RR) standards; and Healthcare Effectiveness Data and Information Set (HEDIS®) measures as they relate to clinical functions and the care management program; assumes responsibility for specific NCQA standards as assigned.
11. Serves as backup to other team members in their respective areas in demonstrated times of excessive workload and/or benefit time.
12. Attends and participates in organizational, departmental, Interdisciplinary Care Team (ICT) meetings, and other clinical program meetings as required.
13. Maintains confidentiality of client data.
14. Performs other related duties as assigned or requested.
POSITION QUALIFICATIONS:
Education:
Minimum:
Licensed registered nurse
Preferred:
Bachelor of science in nursing, limited licensed bachelor of social work, limited licensed master of social work, full
Apply for this role
Generate a tailored application kit with a matched cover letter, interview prep, and CV highlights — in under 60 seconds.
Apply Now →Generate Application KitFree account required — sign up in 30s