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 MANAGEMENT TEAM MANAGER - I-SNP

Position Description

This position is responsible for oversight of the Institutional Special Needs Plan (I-SNP). Manage or influence matrixed UCare services to assure clinical I-SNP operations meet regulations and support the approved I-SNP model of care (MOC). They will also be responsible for ongoing CMS approvals of future I-SNP MOC renewals. Oversee and influence I-SNP Care Delegates to assert a grounded, sufficient program (including care coordination, primary care, institutional facilities and vendors). Contribute to evaluations of new I-SNP Care Delegates and champion clinical onboarding. Evaluate I-SNP clinical activities for members to ensure quality service, and compliance with contractual and regulatory requirements. Responsible for all documented content (policies, procedures), quality improvement initiatives, and measured results. Manage I-SNP clinical care system liaison(s) operation and performance. Collaborate with internal stakeholders to grow, evolve, stabilize and successfully position the clinical aspects of the I-SNP program.

• Exercise expertise in the I-SNP product and care model, internally at UCare and nationally, to inform best clinical practice and maintain the I-SNP's good standing in the Model of Care with CMS. Oversee all Model of Care renewal activities with CMS.

• Establish strong relationships with I-SNP Care Delegates. Monitor and evaluate clinical performance of the I-SNP Care Delegate(s), regularly addressing variances to expectations. Contribute to the evaluation for potential I-SNP Care Delegates, institutions and vendors. Orient and clinically collaborate with new I-SNP Care Delegates.

• Ensure regular and timely maintenance of all I-SNP documentation for compliance with all regulatory and contractual obligations.

• Monitor, analyze and engage to address product performance and improvement opportunities. Identify and propose ways to simplify, streamline and reduce unnecessary costs of the product, both internally and externally.

• Oversee assigned ISNP clinical care system liaison team in the performance of care coordination oversight including: New and ongoing delegate training, delegate enrollment processes, materials development and compliance with regulatory requirements. Develop and maintain processes to provide support and communication processes for ISNP care coordination delegates and providers, as appropriate. Coordination and facilitation of care coordination-related projects as directed, such as monthly enrollment files, implementing a new product, etc.

• Provide training, supervision, and staff development to enhance the knowledge and skills of I-SNP clinical liaison staff. Train staff on requirements for assigned product(s) and corresponding processes, establish regularly scheduled one to one staff supervision at a minimum frequency of monthly to review and evaluate staff performance, establish regularly scheduled team meetings, assist with problem solving. The I-SNP manager will collaborate with the Clinical Operations Manager/Director to coordinate new employee orientation and evaluate additional staff development needs as needed.

• Partner with internal stakeholders, contributing clinical thought leadership to I-SNP's growth, evolution, stabilization and successful positioning within the marketplace.

• Collaborate with UCare on projects, operations and initiatives, as appropriate.

• Maintain a working knowledge of regulations, contractual requirements and team functions.

• Manage identified community partnerships, key provider relations activities, and associated public relations interactions.

• Other projects and duties as assigned.

Education

Bachelor's degree in nursing or equivalent experience or BA in social work. Current and unrestricted license required.

Required Experience

Five years' experience in the health care industry. Two years' experience in case management across the continuum of health care (hospital, clinic, nursing home, home care). Two years' experience supervising professional staff. Strong health plan, managed care, health services, or other related experience.

Preferred Experience

Experience working within a nursing facility or institution. Experience working with Medicaid or Medicare risk managed programs.

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.

Job Post Date: 11/30/2020