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 COORDINATOR - SOMALI
Work Location: Work from Home. Travel required throughout designated counties in Minnesota.
As the Care Coordinator - Somali Population, you will coordinate services across the continuum of health care to meet the health and/or social service needs of members in Government plan products as assigned. You will serve as a liaison between Somali members, members' family, providers to address complex medical and/or psychosocial conditions. In addition, you will coordinate member services with identified primary care clinics/providers, care systems, specialists, clinic, county, and UCare personnel to achieve the most appropriate and cost-effective member care to optimize the long term health of the member. In this role, you will identify and determine unmet needs and potential cultural barriers that inhibit the member's ability to achieve established goals and help remove barriers to achieve goals.
• Collaborate with member to identify the individual's understanding and management of their current medical and/or psychosocial conditions.
• Identify cultural barriers which influence member health care utilization, health knowledge and management of their health condition .
• Participate in selected activities identified in the plan of care for Somali members who have complex medical and/or psycho-social conditions.
• Collaborate with physician, care coordination supervisor, member and family member to identify and implement culturally acceptable interventions that will increase the member's knowledge of identified medical conditions, promote appropriate self-management behaviors for medical conditions, and promote appropriate health care utilization.
• Attend in-person designated home visits, medical and diagnostic appointments with the member and/or family member(s), as appropriate to provide cultural interpretation of medical recommendations and treatments. Provide support to members during selected health care evaluations/procedures, increase member/family member understanding of medical/health conditions and treatments, and facilitate provider understanding of cultural barriers to member's adherence to/acceptance of treatments and diagnostic procedures .
• Serve as a certified medical interpreter during in-person home visits.
• Complete comprehensive assessment of assigned members in-person. Identify and monitor member needs, including needed preventive medical care, and significant changes in condition which may warrant early intervention for medical problems. Develop care plans to meet each member's individual needs. Incorporate ethnic and culturally appropriate approaches to care planning.
• Present information on assigned members at assessment conferences and case reviews as appropriate. Enter member information in the clinical documentation system, Guiding Care software . Complete accurate, thorough and timely required documentation.
• Meet and maintain all established caseload and performance metrics.
• Ensure safe transitions when members move from one setting to another (i.e. being discharged from a hospital or skilled nursing facility). Ensure the plan of care is communicated between the sending and receiving settings for both planned and unplanned transitions. Support members and member families through care transitions between various facilities, acute and/or chronic settings, and community-based living situations including home.
• Monitor and report all quality-of-care issues through the appropriate internal or external systems.
• Assist with CMS Star Rating initiatives or HEDIS quality initiatives and project improvement planning as appropriate.
• Attend internal and external meetings, including staff meeting, discharge planning conferences, community meetings.
• Attend and participate in Somali community wellness events as requested and approved by UCare.
• Must have reliable transportation to travel throughout Minnesota.
• Other projects and duties as assigned.
B.S. in nursing or B.A. in social work or a closely related field. Registered Nurse with a nursing diploma (3 year program) or associate degree in nursing with five or more years experience also considered. Current and unrestricted Minnesota license as an RN is required or social worker is required. Licensure requirements may depend on assigned product(s).
Two year's experience in care coordination/case management across the continuum of health care (hospital, clinic, nursing home, home care etc.) with primary emphasis in working with complex social and medical problems.
MnCHOICES certifed assessor credential in place or with a plan to receive assessor credential within 3 months of hire date.
Three years' experience working with individuals from Somali communities.
Certified Medical Interpreter in place or with plan to receive credentials within 6 months of hire.
Experience working for a health plan that serves culturally diverse and underserved populations through 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: 11/20/2023