Integrated Care Management Case Manager-PMAP-MNCARE
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 UCAREAt 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 UCAREWorking 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. INTEGRATED CARE MANAGEMENT CASE MANAGER-PMAP/MNCARE
This position is responsible to coordinate medical, behavioral and social services across the continuum of care to assist members as they work to address their complex health conditions and social service needs. Work directly with members to engage, assess, develop, implement, coordinate, monitor and evaluate care plans for identified needs. Refer as needed and collaborate with providers, county and community agencies to coordinate the provision of services for UCare members.·Provide telephonic case management for members with complex medical and behavioral health conditions. ·Engage members in ongoing care management using evidence-based practices including Motivational Interviewing and Trauma Informed Care.·Conduct assessments to identify individual needs including addressing social determinant of health needs and actively linking members to appropriate resources available in their community.
·Collaborate with members and/or family member, health coach, primary care providers, clinic staff and other relevant agencies to assure appropriateness of service that meets member needs and supports desired outcomes·Develop and implement care plan, in collaboration with member/family/caregiver that is appropriate to the member's needs. Monitors and evaluates effectiveness of the care plan and modifies as necessary.·Identify and monitor member needs, including needed preventive care, and significant change in condition which may warrant early intervention for medical problems, or transition of care. Incorporate culturally appropriate approaches to care planning, as needed.
·Enter member information in the CareEnhance Clinical Management (CCMS) software. Documentation is accurate, thorough and timely.·Documentation is accurate, thorough and timely.·Meet and maintain all established caseload and performance metrics. ·Actively participate in management of care transitions across the continuum of care to ensure associated planning addresses health care needs and appropriate use of resources.·Provide information to members and providers regarding mental health benefits, services and resources.
·Understand and accurately interpret and apply relevant contractual requirements, policies, procedures and regulations for those members for which care management is a provided service.·Collaborate with multidisciplinary staff to bring perspective based on your discipline and experience. ·Other projects and duties as assigned.Education
RN, LICSW or LSW with requisite experience. Current unrestricted Minnesota nursing or social worker license required.Required Experience
RN or LICSW candidate with 2 years' experience in case management of individuals with co-occurring medical and behavioral health conditions.Preferred Experience
Experience working with state and federally funded programs. Experience in an HMO or MCO desirable.THE UCARE DIFFERENCEUCare is proud to be a recognized Star Tribune Top Workplace for the 9th 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.
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.