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Jobs at Upper Peninsula Health Plan (UPHP) (Now Hiring) — 4 open

Upper Peninsula Health Plan (UPHP) logoUpper Peninsula Health Plan (UPHP)

Remote Community Based Clinical Coordinator - Care Manager  - Luce County, MI

McMillan Township, Michigan, United States · Hybrid

Mid level

<h2><strong>**Recruiting only in the County of Luce, Michigan.** </strong></h2><p class="MsoNormal"><em><span style="font-family: 'Georgia',serif;">Why join UPHP? This full-time remote position offers competitive pay, co…

Skills: Care Management, Clinical Assessment, Case Coordination, Patient Advocacy, Microsoft Word

Upper Peninsula Health Plan (UPHP) logoUpper Peninsula Health Plan (UPHP)

Remote Community Based Clinical Coordinator - Care Manager - Mackinac County, MI 

Michigan, United States · Hybrid

Mid level

<h2><strong>**Recruiting only in the County of Mackinac, Michigan.** </strong></h2><p class="MsoNormal"><em><span style="font-family: 'Georgia',serif;">Why join UPHP? This full-time remote position offers competitive pay…

Skills: Care Management, Clinical Assessment, Case Coordination, Patient Advocacy, MS Word

Upper Peninsula Health Plan (UPHP) logoUpper Peninsula Health Plan (UPHP)

Remote Community Based Clinical Coordinator - Care Manager  - Chippewa County, MI

Sault Ste. Marie, Michigan, United States · Hybrid

Mid level

<h2><strong>**Recruiting only in the County of Chippewa, Michigan.** </strong></h2><p class="MsoNormal"><em><span style="font-family: 'Georgia',serif;">Why join UPHP? This full-time remote position offers competitive pay…

Skills: Care Management, Clinical Assessment, Case Coordination, Patient Advocacy, MS Word

Upper Peninsula Health Plan (UPHP) logoUpper Peninsula Health Plan (UPHP)

Clinical Coordinator - Care Manager - Medicaid

Marquette, Michigan, United States · Remote OK

Mid level

<h2>DATE: July 14, 2026</h2><h2>POSITION: Clinical Coordinator - Care Manager Medicaid</h2><h2>DEPARTMENT: Clinical Services</h2><h2>RATE: $29.72 per hour, with potential for additional compensation based on qualificatio…

Skills: Care Management, Case Coordination, Patient Assessment, Care Planning, Clinical Documentation

Upper Peninsula Health Plan (UPHP) logo

Remote Community Based Clinical Coordinator - Care Manager  - Luce County, MI

Upper Peninsula Health Plan (UPHP)

McMillan Township, Michigan, United States • Hybrid

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Mid level

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  • Full-time
  • bachelor degree, professional certificate
  • Health Insurance, 401(k), Student Loan Repayment Programs, Tuition Reimbursement, 12 Paid Holidays
  • Posted 17d ago
  • ~40 hrs/week

Responsibilities

Perform care management duties to assess, plan, and coordinate medical and supporting services for members to promote quality, cost-effective care. Conduct frequent in-person visits to member homes and nursing facilities to monitor health status and social needs.

Requirements

Requires a valid Michigan license as a Registered Nurse or Social Worker with at least two years of clinical experience. Must possess a valid driver's license, a working vehicle, and proficiency in MS Office.

Full job description

Recruiting only in the County of Luce, 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, 12 paid holidays, and no mandatory overtime, nights, or weekend hours.

DATE:  July 17, 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, fully licensed bachelor of social work, or fully licensed master of social work

 

Requirement:

Licensed in state of Michigan 
 

Experience:

Minimum:

Two (2) years of clinical or health-related experience as a licensed registered nurse or social worker
 

Preferred:

Two (2) years of clinical managed care experience or five (5) years of clinical experience as a licensed registered nurse or social worker; experience in care management; experience reviewing statistical data 
 

Other Requirements:

Valid Driver’s License with proof of insurance
Working vehicle 
 

Required Skills:

Keyboarding proficiency and working knowledge of MS Office programs Word and Excel
Excellent human relation and oral/written communication
Excellent organizational and prioritization abilities
 

Desired Skills:

Ability to interpret and analyze data
Working knowledge of MS Office Access and PowerPoint
 
The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description.  The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job-related selection or promotional criteria.
 

Physical Requirements:

[This job requires the ability to perform the essential functions contained in the description.  These include, but are not limited to, the following requirements.  Reasonable accommodations may be made for otherwise qualified applicants unable to fulfill one or more of these requirements]:
 
Ability to access departmental files
Ability to enter and access information from a computer
Ability to access all areas of the UPHP offices
Moderate physical effort (lift/carry up to 25 pounds)
Occasionally lifts supplies/equipment
Occasional reaching, stooping, bending, kneeling, crouching
Prolonged periods of sitting
Occasional prolonged standing
Manual dexterity and mobility
 

Working Conditions:

Works in office conditions, but frequent travel is required
Subject to many interruptions
Exposure to situations requiring exceptional interpersonal skills or high productivity
Occasionally subjected to irregular hours

 

Remote Work Requirements:

Initial on-site/in-person onboarding and training for a minimum of ten (10) consecutive business days at UPHP’s headquarters in Marquette, MI (stipend provided) 
Periodic travel to UPHP’s headquarters for regular training including bi-monthly all staff meetings.
Private home office required; computer and phone hardware provided
Personal vehicle required for travel; mileage reimbursement provided at GSA rate
Localized travel to conduct home visits in residential, community living, and/or nursing home settings

Related keywords

Care ManagementRegistered NurseSocial WorkNCQA StandardsHEDISCMSMDHHSDIFSUtilization ManagementQuality ImprovementClinical ServicesPatient CareHealthcare CoordinationManaged Care

About Upper Peninsula Health Plan (UPHP)

LinkedInVisit site

Upper Peninsula Health Plan (UPHP) is a managed care & provider service in Michigan's Upper Peninsula.

Industry
Insurance
Company size
51-200 employees
Founded
1998
Headquarters
Marquette, MI
LinkedIn followers
1,463

Mission Statement The mission of UPHP is to be an innovative health plan managing the care of our members in the Upper Peninsula guiding them to quality, cost-effective care through our network of providers improving the overall health of the communities we serve. Values While UPHP’s impact on health care in the Upper Peninsula has grown since we began operating in 1998, our inherent values have not changed. These are the values that guide us in our work: Members First We believe we are accountable to the residents of the Upper Peninsula. We aspire to be our members’ trusted advisor and partner providing access to the highest quality care. Partnership with Providers We believe the Upper Peninsula’s hospitals and healthcare providers are valuable partners to improve our members’ quality of life and promote wellness. The best healthcare solutions come from collaboration with our network of providers. Valued Employees and Volunteers Our culture is distinct and essential to our success, and it begins with our team. We seek out bright, engaging people and support their growth to nurture dynamic careers and offer impactful volunteer opportunities. Connected to Communities We believe access to resources and information leads to better health. We strive to build healthier communities and empower people to make smarter decisions about their health.

Offices: 853 W. Washington Street, Marquette, MI 49855, US

Managed CareMichigan MedicaidMedicare AdvantageMI Health LinkPharmacyClaimsand TransportationHealth CareHealth InsuranceMedical
View all jobs at Upper Peninsula Health Plan (UPHP)

About Upper Peninsula Health Plan (UPHP)

LinkedInVisit site

Upper Peninsula Health Plan (UPHP) is a managed care & provider service in Michigan's Upper Peninsula.

Industry
Insurance
Company size
51-200 employees
Founded
1998
Headquarters
Marquette, MI
LinkedIn followers
1,463

Mission Statement The mission of UPHP is to be an innovative health plan managing the care of our members in the Upper Peninsula guiding them to quality, cost-effective care through our network of providers improving the overall health of the communities we serve. Values While UPHP’s impact on health care in the Upper Peninsula has grown since we began operating in 1998, our inherent values have not changed. These are the values that guide us in our work: Members First We believe we are accountable to the residents of the Upper Peninsula. We aspire to be our members’ trusted advisor and partner providing access to the highest quality care. Partnership with Providers We believe the Upper Peninsula’s hospitals and healthcare providers are valuable partners to improve our members’ quality of life and promote wellness. The best healthcare solutions come from collaboration with our network of providers. Valued Employees and Volunteers Our culture is distinct and essential to our success, and it begins with our team. We seek out bright, engaging people and support their growth to nurture dynamic careers and offer impactful volunteer opportunities. Connected to Communities We believe access to resources and information leads to better health. We strive to build healthier communities and empower people to make smarter decisions about their health.

Offices: 853 W. Washington Street, Marquette, MI 49855, US

Managed CareMichigan MedicaidMedicare AdvantageMI Health LinkPharmacyClaimsand TransportationHealth CareHealth InsuranceMedical
View all jobs at Upper Peninsula Health Plan (UPHP)

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