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 12 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 - MATERNAL & CHILD HEALTH - NICU

Work Location: In the office, work-at-home or hybrid (in the office 3 or more days per week)

The health and safety of our employees, members, providers, and our community is our highest priority. Therefore, all new employees are expected to be fully vaccinated against COVID-19 prior to starting at UCare, subject to limited exceptions such as for a sincerely held religious belief or for medical reasons.

Position Description

This position is responsible to coordinate services across the continuum of health care to meet the needs of identified high-risk, complex members focusing on health, emotion, social, and familial needs. 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-based case management for caregiver(s) of NICU newborns and/or newborn members requiring NICU inpatient care. Monitor medical conditions and length-of-stay for infants in the NICU, and assist as needed with transitions to lower level of care and/or discharge to home. Collaborate with hospital staff and member caregiver(s) as infant transitions through levels of care and acuity.

• Coordinate ongoing benefit and eligibility assistance as needed during hospital stay and transition to home. Partner with caregivers, primary care providers, and other relevant agencies to assure appropriateness of service that meets member needs and supports desired outcomes. Assist caregivers by removing barriers to appropriate primary and specialty care services following discharge.

• Provide ongoing Case Management support at home for several of the NICU discharged newborns. May continue ongoing case management and care coordination services after discharge to home.

• Assess maternal postpartum physical and mental health needs, and offer appropriate emotional support, education, and resource referrals for caregivers and families. Provide ethnic and culturally appropriate approaches to care planning as needed.

• Identify members eligible for NICU program and track clinical updates for currently identified infants requiring NICU Level III/IV care. Make internal and external program referrals as appropriate.

• Identify infants at risk for high-cost NICU care, perform clinical status review of identified members, and report status of high-cost NICU members during reinsurance monthly review.

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

• Document accurately, thoroughly, and timely in UCare's clinical documentation software.

• 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 with UCare's NCQA Complex Case Management program or other clinical initiatives as necessary.

• Support racial and health advancement goals as part of Clinical initiatives and UCare's anti-racism effort.

• Collaborate through team efforts to advance the Maternal & Child Health Case Management program.

• Other projects and duties as assigned.

Education

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

Required Experience

Two years of experience in Level II or III NICU. EMR/EHR experience.

Preferred Experience

Case management or discharge planning experience, with emphasis on working with at high risk, diverse populations. Utilization review 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.

JOB POST DATE: 08/17/2021

INTERNAL ONLY