- Oversee assigned product team in the performance of care coordination activities including identification of members needing care coordination services, timely performance of health risk assessments, development and implementation of care plans, and evaluation of member care outcomes.
- Assign members to care coordinators based on staff caseload size, member needs, and staff competency. Ensure members are assigned per protocol for assigned product(s), regulatory and/or accreditation requirements, timely member assessments, and equal distribution of care coordination workload.
- Monitor delivery of care coordination services. Ensure care coordination records meet contractual requirements. Review and evaluate staff documentation of assessments, care plans, and care coordination activities, audit member records, monitor staff productivity, identify system barriers and possible solutions.
- Provide training, supervision, and staff development to enhance the knowledge and skills of care coordination staff. Train care coordination staff on requirements for assigned product(s) and corresponding care coordination processes, establish regularly scheduled one to one staff supervision at a minimum frequency of monthly to review and evaluate appropriateness of care coordination services and activities, establish regularly scheduled team meetings, assist with problem solving complex member care issues, conduct supervisory oversight of staff/member interactions at least annually. This may be via in-person home visit or telephonic member interaction, depending on assigned product(s), report quality issues to manager, monitor problems on the team and ensure confidentiality of all member data, giving input and suggestions for improvement to the manager.
- Participate in implementing UCare strategy for care coordination in new markets and new products.
- Participate in administrative meetings as assigned by the Care Coordination Senior Manager.
- Provide direct care coordination services to members based on current department caseload and the organization's business needs. Care coordinator duties and responsibilities are described in the care coordinator position description.
- Audit Transition of Care activities occur per the product care model and requirements.
- Perform operational duties related to specific products as assigned.
- Must have reliable transportation to travel throughout designated counties in Minnesota.
- Other projects and duties as assigned.
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care coordination supervisor - Minneapolis, MN , USA, United States - UCare Minnesota
Description
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 14 consecutive years since the awards program began.
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.
Position Description
As a Care Coordination Supervisor - MSHO/MSC+, you will be responsible to oversee daily operations of the team and refer department issues to the Care Coordination Senior Manager.
Participate in the planning, implementation, and evaluation of care coordination activities to ensure quality services and compliance with contractual requirements.
You may be assigned a member caseload at the discretion of the Care Coordination Senior Manager.
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