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 14 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 COORDINATION SUPERVISOR - UNABLE TO REACH/REFUSAL
Work Location: Work from Home - Travel required throughout designated counties in Minnesota.
As the Care Coordination Supervisor - Unable to Reach/Refusal you will be responsible to oversee daily operations of the Unable to Reach/Refusal and Verification team. Participate in the hiring and direct supervision of the team members. Mentor, coach, and evaluate individual staff performance. Participate in the planning, implementation, and evaluation of UTRR care coordination, verification, and engagement specialist activities to ensure quality services and compliance with contractual requirements. The Care Coordination Supervisor - Unable to Reach/Refusal may be assigned a member caseload at the discretion of the Manager.
• Oversee the performance of care coordination activities including timely performance of engagement, care coordination assessments, development and implementation of care plans, and evaluation of member care outcomes.
• Oversee and support verification activities. Obtain monthly performance metrics and report metrics to Manager.
• Update Unable to Reach Team and Verification process guides, tools and resources.
• Develop and maintain positive relationships with Manager, team members and other departments within UCare.
• Assign members to staff based on staff caseload size, member needs, geographic location and staff competency. Ensure equal distribution of care coordinator, engagement specialist, and verification specialist workload.
• Monitor delivery of care coordinator, engagement specialist, and verification specialist services. Ensure staff records meet contractual requirements. Review and evaluate staff documentation, assessments, care plans, 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 staff. Train staff on requirements for assigned products and corresponding processes. Establish regularly scheduled one to one staff supervision at a minimum frequency of monthly to review and evaluate appropriateness of services and activities. Establish regular team meetings, assist with problem solving complex member care issues and conduct supervisory oversight of staff/member interactions at least quarterly. This may be via an in-person or telephonic member interaction, report quality issues to manager, monitor concerns on the team and ensure confidentiality of all member data, giving input and suggestions for improvement to the manager.
• Participate and assist in facilitating meetings as assigned by the Care Coordination Manager, Unable to Reach Refusal.
• Provide direct care coordinator, engagement specialist or verification specialist services to members based on current department, coverage, and the organization's business needs. Care Coordinator, Engagement Specialist, and Verification Specialist duties and responsibilities are described in the respective job descriptions.
• Ensure all care coordination, engagement specialist, and verification specialist functions meet regulatory requirements including assessments, care plans, and transitions of care activities and that these functions occur per the product care model and contract.
• Perform operational duties related to specific products as assigned.
• Must have reliable transportation to travel throughout designated counties in Minnesota.
• Other projects and duties as assigned.
B.S. in nursing or B.A. in social work or related field. RN diploma or Associate RN degree plus case management certification may be considered. Current Minnesota license as an RN or licensed social worker required. Required licensure is dependent upon contractual obligations that are determined by assigned product(s).
Three year's experience in care coordination/case management across the continuum of health care (hospital, clinic, nursing home, home care). One year of leadership experience.
Experience working with 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: 11/7/2023