UCare

Central Intake Coordinator

Employer
Location
Minneapolis, Minnesota
Posted
Mar 15, 2017
Closes
Mar 28, 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.

 

CENTRAL INTAKE COORDINATOR

 

Position Description

This position is responsible to configure monthly MSHO/MSC + enrollment report and provide coverage support for Associate Care Managers (ACM).  Research and configure monthly enrollment report through data analytics; identify member clinic affiliations, investigate MMIS entries and attach information into CCMS.  Collaborate with counties and care systems to ensure accuracy in assignment of cases and clinics; including coordinating and responding to clinic change requests for MSHO and MSC+ members.   This position is also responsible to manage the Care Management Intake Line; telephone, fax, electronic communication and distribution of referrals for clinical services.  Specific duties and responsibilities include:

 

Configure enrollments report through complex data analytics. Search MMIS and attach most recent MMIS entry and other appropriate documents in CCMS for each member. Print a demographic page for care management assignment. 

Communicate new and transferred members to care systems and counties. Assist Care Systems and Counties to resolve enrollment roster issues.  Collaborate with Membership Billing & Enrollment to ensure enrollment issues are resolved and communicate issues and corrections to appropriate delegates.

Generate and send reports for members who experience a product or clinic change, coverage will terminate or have transferred out to another care system for case management to appropriate Care Manager for processing. 

Identify location of residence for newly enrolled members living in long term care facilities and verify clinic/provider affiliation; request clinic change if necessary.  Change status to “open case to assigned care manager”.   

Serve as a primary resource for enrollment and clinic questions for the MSHO and MSC+ team.  Forward UTF/transfer forms to delegates and counties. Attach relevant information in member files, distribute referrals for care management, and communicate urgent care coordination issues to the supervisor which includes checking Macess queues.  

Return and manage calls, faxes, and emails coming into the Intake Line within one business day. Manage the specialty Intake Inbox by forwarding referrals to Connect, UFS, and PMAP inboxes for case management. 

Coordinate PCC changes from delegates into the Macess Case Management PCC Change Queue, by determining the correct delegate and sending updated information to Enrollment for necessary changes.  After changes are finalized by Enrollment, communicate with delegate regarding the change. Ensure timely delivery of welcome letters and change in care coordinator letters to members. Check the MACESS Case Manager Waiver Authorizations Queue and forward SF's to the appropriate team within Clinical Services for correction.

Assist ACM's with entering LTCs into MMIS, processing DTRs, ordering DME for members, putting in authorizations for waivered services, scheduling member's doctor appointments, mailing out care plans and PCA assessments to members, faxing care plans and PCA notifications to providers, and acting as an interpreter on member calls or face to face assessments with care managers as time allows. 

Other projects and duties as assigned.

Education

Associates degree or Bachelor's degree with focus on health, social service, psychology; demonstrated experience may be considered in lieu of degree. 

Required Experience

Three years of experience in a community health organization.  Demonstrated use and understanding of medical terminology.  Intermediate experience with databases such as Excel.

Preferred Experience

Experience working with state and federally funded programs.  Experience working for a health maintenance organization (HMO) serving members with Medicare and/or Medicaid coverage. Experience in 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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