What are the responsibilities and job description for the Maternal Child & Health Care 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.
MATERNAL CHILD & HEALTH CARE 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 Maternal & Child Health (MCH) Care Manager, you will be responsible to coordinate services across the continuum of health care to meet the health and social service needs of identified members focused in the area of Maternal and Child Health. You will collaborate with treatment providers, county and community agencies, pilot provider programs and other key stakeholders to identify and coordinate provision of health care services for UCare members.
- Provide member-centered telephonic case management for members across the continuum of pregnancy and childbirth addressing medical, Mental Health (MH), and / or Substance Use Disorder (SUD) conditions that focuses on connecting UCare members to appropriate services and resources.
- Provide education and advice on pregnancy, baby care, breastfeeding, and recovery post-delivery.
- Understand and accurately interpret and apply relevant contractual requirements, policies, procedures and regulations for care management.
- Partner with members and / or family members, primary care providers, clinic staff and other relevant agencies to assure appropriateness of service that meets member needs and supports desired outcomes.
- Complete assessment of assigned members. Monitoring health condition of the mother and the baby during pregnancy and postpartum stages. Collaborate with member / caregiver in the development of a care plan appropriate to the member's needs. Ensure care plan goals are measurable, specific and timebound.
- Identify and monitor member needs, including needed preventive care, and significant change in condition which may warrant early intervention for transitions of care. Incorporate ethnic and culturally appropriate approaches to care planning as needed.
- Enter member information in UCare's clinical documentation software. Documentation is accurate, thorough and timely.
- Meet and maintain all established caseload and performance metrics.
- Attend internal and external meetings; may serve as team representative on cross departmental meetings as assigned.
- Assist with CMS Star Rating / HEDIS initiatives and project improvement planning as appropriate.
- Other projects and duties as assigned.
Education
Registered Nurse (BSN preferred). Current and unrestricted RN license in Minnesota required.
Required Experience
At least two years' experience in Pediatrics, NICU, and / or OB / GYN care coordination / case management across the continuum of health care (hospital, clinic, home care etc.). Emphasis on working with at risk, diverse populations.
Preferred Experience
Combination of Public Health work with families and children and working knowledge of managed care or commercial environments.
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
