UCare

Care Manager PMAP-MN Care (Maternity focused)

7 days left

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Oct 28, 2020
Closes
Dec 03, 2020
Ref
2141
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.

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

ABOUT UCARE UCare offers Medicare, Medicaid, Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams de-complicate, advocate and always go the extra mile to help our members. We serve with integrity, compassion and commitment to do right by members, providers and government partners. Above all, we come to work excited to provide members a path for the best health of their lives.

WORKING AT UCARE Working at UCare is more than 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. Employees join UCare and stay because of the opportunity to have a purpose-driven job.

Our strong culture has established UCare as a Star Tribune Top 150 Workplace for 11 consecutive years since the awards program began. It's a culture that embraces innovative ideas, strategic partnerships, and exemplary customer and provider experiences. Working at UCare is being a part of a people powered team dedicated to making a real difference in the lives of our members and communities.

CARE MANAGER PMAP - MNCARE (MATERNITY FOCUSED)

Position Description This position is responsible to coordinate services across the continuum of health care to meet the health and social service needs of identified members focused in the area of Maternal and Child Health. Collaborate with treatment providers, county and community agencies, pilot provider programs and other key stakeholders to identify and coordinate provision of health care services for UCare members.

• Provide telephonic and community based case management support to members. As appropriate, member support may may include clinic and/or patient home visits.

• Understand and accurately interpret and apply relevant contractual requirements, policies, procedures and regulations for those members for which care management is a provided service.

• Partner with members and/or family member, primary care providers, clinic staff and other relevant agencies to assure appropriateness of service that meets member needs and supports desired outcomes.

• Complete assessment of assigned members. Collaborate with member/caregiver in the development of a care plan appropriate to the member's needs. Care plan goals are measurable, specific and timebound.

• Identify and monitor member needs, including needed preventive medical care, and significant change in condition which may warrant early intervention for medical problems, or transitions of care. Incorporate ethnic and culturally appropriate approaches to care planning as needed.

• Enter member information in UCare's clinical documentation software. Documentation is accurate, thorough and timely.

• Meet and maintain all established caseload and performance metrics.

• Attend internal and external meetings; may act as team representative on cross departmental meetings as assigned.

• Assist as necessary with UCare's NCQA Complex Case Management program or other clinical initiatives. May also assist with CMS Star Rating/HEDIS initiatives and project improvement planning as appropriate.

• Other projects and duties as assigned.

Education Registered Nurse (BSN preferred). Current and unrestricted RN license in Minnesota required.

Required Experience Two years experience in Pediatrics, NICU, and/or OB/GYN care coordination/case management across the continuum of health care (hospital, clinic, home care etc.). Emphasis on working with at risk, diverse populations.

Preferred Experience Combination of Public Health work with families and children and working knowledge of managed care or commercial environments.

THE UCARE DIFFERENCE The UCare difference is our people power - employees actively working on the behalf of our members to get them access to the health care they need. We value and respect each individual's ideas and contributions, and provide the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, and a myriad of volunteer activities. If you're looking for an inclusive environment that celebrates your people power, 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.

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