UCare

Preadmission Screening Coordinator

Employer
Location
Minneapolis, Minnesota
Posted
Jan 10, 2017
Closes
Feb 01, 2017
Category
Healthcare
Employment Status
Full Time

Health Care that Starts with You!

Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs. UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.

 

 

ABOUT UCARE

At UCare, we deliver high-quality health coverage and services to help members of all ages maintain and improve their health. It's a big job that takes innovative ideas, strategic partnerships, and a commitment to doing the right thing. Above all, it takes a compassionate team that is dedicated to making a real difference in the lives of our members and our communities.

 

WORKING AT UCARE

Working at UCare is more than just a career; it's a mission. A mission that defines us as professionals, unites us as an organization, and shapes how we interact with our members and each other. Our values of integrity, community, quality, flexibility, and respect permeate every aspect of our organization - from who we are and how we act, to what we do and how we do it. We owe our continued success to our employees who proudly embody our mission and values in everything they do.

 

PREADMISSION SCREENING COORDINATOR

 

Position Description

This position is responsible to ensure members entering a skilled nursing facility meet appropriate level of care by completing OBRA Level I. Responsible to ensure that admission and retention of people with serious and persistent mental illness in nursing and boarding care facilities are referred appropriately. This position facilitates communication for MSHO and MSC+ members by collaborating with skilled nursing facilities and senior linkage line.  Support Care Managers in clinical duties to ensure efficient work flow. Specific duties and responsibilities include:  

Determine appropriate level of care for members by completing the OBRA and comparing/reviewing results with the PAS.  

Complete HRA as appropriate and enters into state MMIS system.   

Facilitate a Level II screening through the county of member's residence as appropriate.     

Collaborate with skilled nursing facilities to verify admission of member and send PAS.

Ensure timely delivery of:  PAS, OBRA and entry of assessments into MMIS to comply with contractual obligations.  

Manage PAS inbox by reviewing and responding to all emails within one business day.

Provide back up to care managers or associate care managers as license allows.

Other projects and duties as assigned.  

Education

B.A. in social work.  B.S.N., Registered Nurse with a nursing diploma (3 year program), associate degree in nursing or LPN.  Current Minnesota license as an RN, LPN or social worker is required. Licensure requirements may depend on assigned product(s).

Required Experience

Familiarity with medical terminology and the ability to interpret health information.

Preferred Experience

Strong customer service skills. Experience working for an HMO serving members with Medicare and/or Medicaid coverage. Experience working with state and federally funded programs.  Experience working with culturally diverse populations, underserved populations, or the frail elderly. 

THE UCARE DIFFERENCE

UCare is proud to be a recognized Star Tribune Top Workplace for the 7th consecutive year. As a part of our collaborative team, you'll experience the rewards that come with helping others and seeing the positive results of your hard work. We value and respect each individual's ideas and contributions, and give you the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, a myriad of volunteer activities, and a number of other rewards. If you're looking for a welcoming environment that celebrates what you have to offer, helps you build on your strengths, and gives you the opportunity to truly make a difference, we invite you to apply.

 

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.

Rewards

Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers. At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.
www.ucare.org/careers/
EOE/AA

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