CASE MANAGER - MANAGED CARE

McLeod County, MN•Glencoe Township, MN

1d•$29 - $44•Hybrid

About The Position

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. The 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. Perform 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 preferences. Evaluating and monitoring services identified in the support plan. Helping people access needed services. Helping people identify potential service providers. Collaborate 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. Perform 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. Attend monthly unit meetings and quarterly all staff meetings. Perform job related duties as assigned or apparent.

Requirements

Bachelor’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.
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 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, assess, 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.

Responsibilities

Perform 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 preferences.
Evaluating and monitoring services identified in the support plan.
Helping people access needed services.
Helping people identify potential service providers.
Collaborate 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.
Perform 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.
Attend monthly unit meetings and quarterly all staff meetings.
Perform job related duties as assigned or apparent.