What are the responsibilities and job description for the Child & Adolescent Case Manager position at UCare?
ABOUT UCARE
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 15 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.
CHILD & ADOLESCENT CASE MANAGER
The current hiring base salary range for this role is :
84,436.00 / year - $94,989.60 / year
UCare anticipates paying within the above-references salary range for this position. The actual base salary offer for this position will be determined by a variety of components including but not limited to work experience, education, certifications, location of the role, internal equity, and other relevant factors.
LOCATION : Minneapolis, MN (Work from Home)
Position Description
As an Integrated Care Management (ICM) Child and Adolescent Case Manager, you will be responsible to coordinate care for children and adolescent members who have been diagnosed with Complex Medical, Mental Health (MH), Substance Use Disorders (SUD), Autism (ASD), and / or related conditions. This includes addressing needs across the continuum of care to assist members and their families / caregivers to address their complex health and / or 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 collaborate with providers, counties, and community agencies to coordinate the provision of services for UCare members.
- Provide member-centered telephonic case management for members with complex medical, MH, SUD, ASD or related conditions that focuses on connecting UCare 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 determinants of health and actively linking members to appropriate resources and services available in their community.
- Collaborate with members and / or family members, healthcare professionals, primary care providers, clinic staff and other relevant agencies in the continuum of care that meets member needs and supports desired outcomes.
- Develop and implement member-centered care plans, in collaboration with member, family, and / or caregiver that is appropriate to the member's needs. Monitor and evaluate effectiveness of the care plan and modify as necessary. Complete all care plans within specified timeframes. Incorporate culturally appropriate approaches to care planning, as needed.
- Identify and monitor member needs, including preventive care, and significant change in condition which may warrant early intervention or transition of care.
- 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 medical, 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.
- 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.
Education / Licensure
RN or LICSW with requisite experience. Current Minnesota license required.
Required Experience
Candidate with experience working with managed care and one of the following :
Preferred Experience
RN or LICSW candidate with 2 years' experience in child or youth case management. Experience working with state and federally funded programs. Experience in an HMO or MCO highly desirable. Experience in community work and / or culturally congruent care for communities / populations with higher child and adolescent health disparities. Somali Speaking.
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.
BENEFIT ELIGIBLITY
Candidates hired into this position will also be eligible to participate in the following benefit programs : Paid Time Off; Earned Safe and Sick Time; Paid Holidays; Parental Leave; 401K program; medical, dental, vision, life insurance; short-term and long-term disability insurance; Flexible Spending Account and / or Health Savings Account, subject to meeting the eligibility requirements and terms and conditions of these programs.
This job posting should not be construed as an offer of employment with certain terms, nor should it be construed as a guaranteed minimum. UCare's policies and benefits are subject to change in UCare's sole discretion, consistent with applicable law.
Salary : $94,990
