CASE MANAGER - MANAGED CARE

Salary Range for this position is $25.78-$38.67 / hour depending on experience.Position will be posted until filled, application will be reviewed as received.After a probationary period, this position has the option to telework, however; future work locations and schedules will be based on the business needs of the unit and supervisory discretion.The Managed Care Case Manager's responsibilities include, but are not limited to intake, assessment of needs, service planning, service plan implementation, service coordination, monitoring and follow-up, reassessment, case conferencing, and case closure.ESSENTIAL FUNCTIONS / RESPONSIBILITIESThe following duties are normal for this classification. These are not to be construed as exclusive or all-inclusive. Other duties may be required and assigned.Position DutiesPerform comprehensive individual and family assessment.Provide care coordination, case management, referral and follow-up to individuals and families who are members of a vulnerable population and / or high-risk groups.Determine eligibility for home and community-based programs and long-term services and support.Developing a support plan based on people's assessed needs and preferencesEvaluating and monitoring services identified in the support planHelping people access needed servicesHelping people identify potential service providersCollaborate in delivery of programs and activities for individuals and / or families that promote health and prevent disease.Participate in McLeod County Health and Human Services Department's community health assessment and health improvement planning and interventions activities.Deliver targeted, culturally-appropriate information to help individuals and families understand health promotion and disease prevention information, policies, regulations, and local code.Advocate on behalf of vulnerable individuals and populations.Maintain case records which meet federal, state and local guidelines.Provide public information on social service programs to the community and special groups. OtherPerform public health emergency response duties as assigned and consistent with job classification and training provided, in response to threats to the public's health.Participate in department and community emergency response training and drills consistent with job classification in support of public health emergency and disaster preparedness.Utilize quality improvement (QI) and performance management (PM) processes and / or techniques to improve the effectiveness of the respective public health program. This includes, but is not limited to : creating, implementing, and evaluating performance standards and identifying, implementing, and assessing program quality improvement processes. NON-ESSENTIAL FUNCTIONSAttend monthly unit meetings and quarterly all staff meetings.Perform job related duties as assigned or apparent.MINIMUM QUALIFICATIONSEducation and ExperienceBachelor's degree in social work plus at least one year of home and community-based experience;Or Bachelor's degree in nursing with current licensure as a registered nurse along with public health certification and at least one year of home and community-based experience;Or Bachelor's degree in a closely related field plus at least one year of home and community-based experience;Or current licensure as a registered nurse with at least two years of home and community-based experience . Required Certifications / Licenses MnCHOICES Assessor Certification (training will be provided if applicant is not currently certified)Valid driver's license and ability to maintain such license and proof of insurance.KNOWLEDGE, SKILLS, ABILITIESKnowledge of chart documentation requirements, medical record forms, Minnesota Department of Human Services waiver review standards, Minnesota managed care organization standards, state and federal laws that govern release of health care information and client consents required to release health information.Knowledge of health care systems structure and function.Knowledge of adult learning and health education techniques and principles.Demonstrate the skills required to delegate tasks, coordinate client and family care, and to utilize community resources.Ability to plan, assesses, and make decisions under pressure.Ability to tolerate high levels of stress.Ability to make independent judgments with minimal consultation.Ability to communicate with and understand the problems faced by families from all cultural and economic levels.Ability to work with a wide variety of families and cultures.Time management skills.RELATIONSHIPSRegular interaction with County and Health and Human Services program leaders.Regular interaction with individuals referred for long term services and supports and their families and / or legal guardians to provide information about services, options, providers, and resources and gather information.Interaction with service providers for referrals, planning, service coordination, and assuring the needs, health and safety of individuals are met / assured.Interaction with medical, psychiatric, psychological, legal, educational, vocational, rehabilitation and other professionals and resources for referrals, information on services, and consultation.Other organizations serving groups of people with health needs to provide health consultation, care coordination, case management, resource finding, and health promotion. SUPERVISORY RESPONSIBILITIESNo direct supervision of employees.WORKING CONDITIONSWork is mainly performed in an office setting, community clinics, hospitals, skilled nursing facilities, customized living facilities and in client homes and other community sites including, but not limited to, workplaces and schools.Frequent travel may involve exposure to inclement weather conditions, unsanitary conditions in homes and unsafe environments.Direct service provision may require dealing with persons who are hostile, aggressive, abusive or threatening.PHYSICAL REQUIREMENTS OF THIS POSITIONDesk work involving use of a computer, telephone, and other devices.Communicate effectively with County staff, families needing protective services, County Attorney, court personnel, and probation.Ability to read screens and documents.Ability to drive in various light and weather conditions.Ability to type and use a computer or mobile device.Office work may include reaching for documents, grasping documents, standing, walking, and repetitive motions.Lift and carry files and material weighing up to 50 pounds.EQUIPMENT REQUIRED TO PERFORM THIS JOBComputersTelephonesMobile devicesMotor vehiclesADDITIONAL NOTESAll positions in McLeod County are subject to a background check. This may include, but not limited to the following checks : criminal history, credit, driver's license, pre-employment physical, pre- employment drug and alcohol screening, pre-employment psychological testing.To view 2025 Benefits Click HERE Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Salary : $26 - $39