UCare

Restricted Recipient Program Supervisor

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Aug 09, 2022
Closes
Aug 26, 2022
Ref
3117
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 200 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.

RESTRICTED RECIPIENT PROGRAM SUPERVISOR

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

This position is responsible to oversee daily operations of the Restricted Recipient Program (RRP) and collaborate with the Mental Health and Substance Use Disorder Services Clinical Manager, as appropriate. You will set priorities for the team to ensure that assigned job duties are completed and assist with updates based on process improvement strategies and data. Lead the hiring efforts and direct supervision of restricted recipient staff. Coordinate new employee orientation and evaluate staff development needs. Mentor, coach, and evaluate individual staff performance. Participate in the planning, implementation, and evaluation of restricted recipient activities to ensure quality services and compliance with contractual requirements. Participate in the oversite, planning, and training of the crisis phone line. The team supervisor may be assigned a member caseload at the discretion of the Mental Health and Substance Use Disorder Services Clinical Manager. You will also be involved in ensuring that the program is run due to regulatory expectations and will participate in any audits.

• Oversee assigned team in the performance of RRP activities including identification of members meeting criteria, implementing restrictions, development and implementation of case management for restricted recipients, and evaluation of member care outcomes.

• Monitor delivery of the RRP. Ensure records meet contractual requirements. Review, audit and evaluate RRP staff documentation of RRP activities including, initial and re-restrictions, PMP requests, timely return of member communications and compliance with all contractual turnaround time requirements. Monitor staff productivity and identify system barriers and possible solutions.

• Provide training, supervision, and staff development to enhance the knowledge and skills of staff. Collaborate with the Mental Health and Substance Use Disorder Services Clinical Manager when issues are noted, giving input and suggestions for improvement.

• Establish regularly scheduled one to one staff supervision at a minimum frequency of monthly to review, evaluate and provide feedback about the appropriateness of RRP activities.

• Establish regularly scheduled team meetings, assist with problem solving complex member care issues, conduct supervisory oversight of staff/member interactions at least monthly.

• Participate in administrative meetings as assigned by the Mental Health and Substance Use Disorder Services Clinical Manager. Participate in leadership of the MSS department, taking an active role in setting the course and facilitating progress on that plan.

• Ensure Transition of Care case management activities occur per the product care model and requirements.

• Lead and establish protocols and processes for management of members/callers in crisis.

• Develop and maintain a comprehensive knowledge of UCare product and member benefits. Understand, implement, and support the Evidence of Coverage, Certificate of Coverage

• Represent UCare MH & SUDS department at internal and external DHS meetings, MSS work groups or initiatives as assigned by Mental Health and Substance Use Disorder Services Clinical Manager.

• Support the values of UCare by fostering enthusiasm and employee engagement among staff for community involvement, collaboration with other departments and active participation on UCare's various committees and work groups.

• Other projects and duties as assigned.

Education

RN, LPCC, or LICSW with requisite experience. Current unrestricted Minnesota license required.

Required Experience

Three year's experience in care coordination/case management across the continuum of health care (managed care organization, inpatient, clinic, outpatient treatment, home care). Two years of supervisory experience. Two years of experience at an impatient, residential or outpatient mental health or substance use disorder treatment program.

Preferred Experience

Dually licensed as LADC. Knowledge of case management standards and experience working with state and federally funded 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: 08/08/2022

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