UCare

SNBC Program Manager

7 days left

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Jun 08, 2022
Closes
Jul 06, 2022
Ref
3020
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 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.

SNBC PROGRAM MANAGER

Work Location: Work from home

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

As the SNBC Program Manager, you will be responsible for the program management of UCare's Special Needs Basic Care (SNBC) products. This position will assist with setting priorities for the SNBC care coordination programs, including process improvement strategies, organizational goals, regulatory guidance and data. Interpret and apply state and federal regulatory mandates to support regulatory readiness and accreditation. Oversee the implementation of the priorities to ensure contractual, and regulatory requirements are communicated and understood by stakeholders. In addition, you will also be responsible to maintain relationships with delegated entities to assist in positive collaboration and open communication.

• Oversee team in the performance of care coordination and care navigation activities including compliance with all contractual obligations

• Monitor delivery of care coordination services. Review and evaluate care coordination and care navigation staff documentation of assessments, care plans, and care coordination activities, audit member records, monitor staff productivity, identify system barriers and possible solutions.

• Provide training, supervision, and staff development to enhance the knowledge and skills of care coordination and care navigation staff. Establish regularly scheduled one to one staff supervision at a minimum frequency of monthly to review and evaluate appropriateness of care coordination services and care navigation services and activities, establish regularly scheduled team meetings, assist with problem solving complex member care issues, conduct supervisory oversight of staff/member interactions.

• Work collaboratively with Clinical Care System Liaisons, as appropriate to ensure communication member needs are met. Provides clinical consultation to clinical liaisons working with delegate staff as needed.

• Assist with the oversight of regulatory reporting for SNBC products: Complete the MOC Evaluation annually, work with Compliance on annual DHS reporting, work with the Director on writing and submitting the MOC to CMS. Prepare and submit regulatory findings to stakeholders.

• Oversee the Care Coordination Grids. Work with the clinical liaisons to update the language while providing sound reasoning for updates that can be explained and implemented in a timely way, including allowing time for training to occur, and for supportive documentation to be publicly posted for delegates to access.

• Develops tools and resources to assist the care coordinators in performing their duties, including assessments, care plans, training opportunities and algorithms for commonly occurring medical and social complexities in the population.

• Collaborate with the Quality Management team on HEDIS ratings, Stars Ratings measures, clinical outcome measures, strategies, and interventions, as appropriate.

• Collaborate with Health Care Economics (HCE) on tracking care coordination measures and impacts on overall total cost of care, including interventions in specific areas, and with specific demographics,

• Participate in developing and implementing UCare strategy for care coordination in new markets and new products.

• Build and leverage effective cross-functional relationships, influence and support a culture of compliance.

• Successfully manage relationships and coordinated efforts with delegated vendors as assigned.

• Participates in the development of department policies and procedures for the SNBC program.

• Participate in meetings as assigned by the Director.

• Other projects and duties as assigned.

Education

Bachelor's degree in nursing or social work or licensed mental health professional. RN diploma or Associate RN degree plus case management certification may be considered. Current, unrestricted, Minnesota license required.

Required Experience

Five years supervisory or management experience in a health plan, managed care organization, or clinical setting. Experience with program performance measurement, data, reporting, and analysis. Knowledge of State and Federal regulations, experience with national accreditation standards.

Preferred Experience

Experience working with disabled, multi-cultural and underserved populations desired.

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: 06/07/2022

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