The Role That Could Eliminate Most Hospitalizations: The Care Manager
In this episode, Jamie and Scott pull back the curtain on one of the most misunderstood roles in healthcare — the care manager — unpacking why it's not a scheduling job, but a command center role that sits at the heart of every high-performing care team. Scott makes the case that if every care manager did their job the way it was designed — from geographic visit scheduling to relentless medication reconciliation — hospitalizations would drop to near zero.
The Disrupted Podcast · Jamie Preston, Scott Middleton
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Show Notes
In this episode of The Disrupted Podcast, Jamie and Scott have a raw, specific, and deeply personal conversation about Care Managers: who they are, what they're actually supposed to do, and why getting this role wrong is costing patients their health and organizations millions of dollars.
Scott opens with a story that hits hard: his 91-year-old father's recent hospitalization, the mistakes that nearly happened, and what it cost him — financially and emotionally — to navigate a system that wasn't built for the patient.
What you'll hear in this episode:
- Why care managers are controllers, not schedulers — and what happens when organizations get that wrong
- The medication reconciliation crisis: how discharge errors are sending patients straight back to the ER
- How Your Health's new geographic mapping tool is transforming how care teams schedule 30 days of visits in advance
- The shared bonus model designed to stop care team members from fighting over visits — and start winning together
- What care managers should never be doing — and the analytical skill set that separates great ones from average ones
If you're building care teams, leading a healthcare organization, or just trying to keep a loved one safe in a broken system, this episode will change how you think about the people standing between your patients and the hospital.