Care Coordinator

5 days ago


Minneapolis, Minnesota, United States UCare Full time
Job Summary

We are seeking a highly skilled Care Coordinator to join our team at UCare. As a Care Coordinator, you will play a critical role in coordinating services across the continuum of healthcare to meet the health and social service needs of our members.

Key Responsibilities
  • Collaborate with treatment providers, county and community agencies, and contracted and non-contracted providers to identify and coordinate provision of healthcare services for our members.
  • Apply care coordination criteria, protocols, and procedures to ensure the most appropriate and cost-effective member care.
  • Work with members and/or family members, primary care physicians, clinic staff, providers, and other relevant agencies to ensure appropriateness of service that meets member needs and ensures desired outcomes.
  • Complete in-person comprehensive assessments of assigned members, utilizing interpreter services as needed, and develop care plans to meet each member's individual needs.
  • Present information on assigned members at assessment conferences and case reviews, and enter member information in the clinical documentation system, GuidingCare software.
  • Meet and maintain all established caseload and performance metrics, ensuring safe transitions when members move from one setting to another.
  • Use appropriate communication tools per contractual and care model requirements, and monitor and report all quality-of-care issues through the appropriate internal or external systems.
Requirements
  • Bachelor's degree in nursing or social work, or a closely related field.
  • Two years of experience in care coordination/case management across the continuum of healthcare, with primary emphasis in working with complex social and medical problems.
  • MnCHOICES certified assessor credential, or a plan to receive the credential within 3 months of hire date.
Preferred Qualifications
  • Managed care experience, particularly with government programs, such as Medicare and Medicaid.
  • Experience working with multi-cultural populations, and bilingual skills in Hmong, Spanish, Russian, Somali, or Vietnamese.


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