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.
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.
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.
MENTAL HEALTH & SUDS CHILD & ADOLESCENT CASE MANAGER
Work Location: Work from home
As the Mental Health & Substance Use Disorder (MH & SUDS) Child and Adolescent Case Manager, you are responsible to coordinate care for children and adolescent members who have been diagnosed with Autism (ASD) or related conditions. This includes addressing needs across the continuum of care to assist members and their families/caregivers work to address their complex mental health and social service needs. You will work directly with members and their families/caregivers to engage, assess, develop, implement, coordinate, monitor and evaluate member centered care plans for identified needs. You will make referrals as needed and collaborates with providers, counties, and community agencies to coordinate the provision of services for UCare members.
• Provide member-centered telephonic case management for members with ASD or related conditions that focuses on connecting Medicaid child and adolescent members and their families to age appropriate services and resources
• Engage members in ongoing case management using evidence-based, member centered practices including Motivational Interviewing and Trauma Informed Care.
• Conduct assessments to identify individual needs including addressing social determinant of health needs and actively linking members to appropriate resources and services available in their community.
• Collaborate with members and/or family members, psychiatrists, primary care providers, clinic staff, school personnel and other relevant agencies in the continuum of care to assure appropriateness of service that meets member needs and supports desired outcomes.
• Develop and implement member-centered care plans, in collaboration with member/family/caregiver that is appropriate to the member's needs. Monitor and evaluate effectiveness of the care plan and modify as necessary.
• Identify and monitor member needs, including preventive care, and significant change in condition which may warrant early intervention or transition of care. Incorporate culturally appropriate approaches to care planning.
• Meet and maintain all established caseload and performance metrics.
• Actively participate in management of care transitions across the continuum of care to ensure associated planning addresses health care needs and appropriate use of resources.
• Provide information to members, family members, and providers regarding developmental, mental health and substance use disorder benefits, services, and resources.
• Accurately apply relevant contractual requirements, policies, procedures, and regulations for members receiving case management.
• Collaborate with multidisciplinary staff to bring perspective based on discipline and experience.
• Conduct telephonic work for the Mental Health and Substance Use Disorder Triage Line; including providing coverage for answering crisis calls for members who may need triage and referral to crisis resources and answering calls coming to the Mental Health and Substance Use Disorder Case Management consult line.
• Develop and maintain a comprehensive knowledge of member benefits for each product; understand, implement, and support the Evidence of Coverage, and follow organization policies as they relate to member benefits.
• Other projects and duties as assigned.
RN, LP, LPCC, LMFT or LICSW with requisite experience. Current Minnesota license required.
RN candidate with experience working with managed care and one of the following:
• 2 years in clinic or outpatient setting working with youth diagnosed with ASD or related conditions
• 2 years in outpatient mental health or substance use treatment facility that served youth under the age of 21.
• 2 years as staff in an inpatient mental health unit, crisis residential, IRTS, or crisis residential facility that served youth under the age of 21.
• A minimum of two years direct behavioral health clinical experience.
LP, LPCC, LMFT or LICSW candidate with experience working with managed care with the following:
• 3 to 5 years' experience in psychiatric and/or substance abuse treatment. Experience in settings that include inpatient, partial, and/or outpatient treatment that served youth under the age of 21 and care management services in a youth based mental health and substance use disorder care management organization preferred.
Health Plan Operations; Microsoft Project; Visio; SharePoint. Understanding of project management concepts and methodologies.
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: 12/20/2022