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 600,000 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 13 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.

MENTAL HEALTH & SUDS DIRECTOR - SPECIAL NEEDS BASIC CARE CONNECT (SNBC) & CONNECT+

Work Location: Office for Your Day

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 complete complex tasks and make decisions within broad parameters and with minimal supervision. Responsible to assist with the planning, organizing, directing, and managing the functions and services of the Special Needs Basic Care (SNBC) clinical area, as well as in coordination with the operations area. Lead staff members in conjunction with the SNBC managers, supervisors and the MSS Oversight Manager. Consult with staff, medical directors and others on member problems, interpretation of regulations, and engages with community partners to represent UCare. Maintain performance improvement activities within the SNBC area, and work in conjunction with the oversight Manager. Develop the annual SNBC budget by working collaboratively with key stakeholders, including the Vice President.

• Provide leadership and mentoring to SNBC staff and leaders, while assuring successful regulatory compliance and supports performance management of staff.

• Provide back-up coverage in absence of SNBC managers.

• Assist with overseeing the day-to-day administration and management of the SNBC area. Consult with the Vice President of Mental Health and Substance Use Disorder SNBC and make recommendations as related to SNBC business functions.

• Maintain knowledge and understanding of managed care policies, regulatory requirements, and key payer and provider contract provisions as related to SNBC. Work with other key partners within the organization to continue to evolve and innovate.

• Collaborate with MSS leaders and medical director to facilitate effective care management programming and interventions being deployed and that complex cases are reviewed and managed. Collaborate with key partners such as Clinical Services (CLS), MSHO and MSC+ leadership to facilitate integrated care, and complex case rounds.

• Monitor overall utilization of SNBC via a dashboard, consults with medical director and other key stakeholders to review and facilitate effective utilization programming and interventions to ensure medical expense remains within established benchmarks.

• Maintain knowledge of applicable laws such as Data Privacy Act, regulations, and departmental or organization policies.

• Develop systems and SNBC policies/procedures to meet regulatory requirements, NCQA standards, and the Model of Care.

• Develop and maintain assigned budgetary responsibilities relevant to SNBC, as well as the other teams within MSS.

• Participate in work groups and committees as assigned, such as the Utilization Management work group.

• Ensure orientation and ongoing training are available, as needed, to facilitate service delivery and professional growth.

• Ensure coordination of SNBC services with other areas through Clinical Services and Quality Management and Government programs.

• Participate in the joint selection and orientation of assigned staff to ensure appropriate screening, hiring, and effective selection of staff members.

• Represent UCare as an active member of community committees, work groups, regional sub-committees, interactions with counties, and special projects. Some travel may be required.

• Participate as a key member of the Clinical Services leadership team and works collaboratively with the Chief Medical Officer and Medical Directors to develop the annual department plan.

• Participate in annual Inter-rater reliability testing; a passing score each year is required as a condition of employment.

• Ensure SNBC quality metrics demonstrate continued improvement in the area of Stars/HEDIS measures.

• Collaborate with others to engage staff and corrects course as appropriate related to UCare Staff Engagement survey results.

• Partner with Delegate Agencies and Counties to facilitate run the business.

• Work with the Community Clinical Data Analysts to understand the results of both internal and external audits, and any indicated areas which need additional discussion and/or training, as well as working with the Oversight Manager and SNBC Clinical Community Liaisons to gather feedback about the state of the state, and any indicated areas of concerns or further clarification. Plan with other leaders to facilitate same.

• Other projects and duties as assigned.

Education

Bachelor's Degree in nursing, social work, counseling or closely related field from an accredited college or university. Current Minnesota licensure in field of study is required.

Required Experience

Five years clinical practice experience in a mental health or substance use disorder setting. Five years progressively responsible management/supervisory experience that has included analyzing and recommending solutions for development of mental health or substance use disorder services. Comprehensive knowledge of Medicare and Medicaid rules/regulations related to mental health or substance use disorder services and to Dual Products.

Preferred Experience

Knowledge of psychological and social aspects and characteristics of emotional disturbances, mental illness, and additive disorders.

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: 06/02/2022