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    care coordinator - Minneapolis, MN , USA, United States - UCare Minnesota

    UCare Minnesota
    UCare Minnesota Minneapolis, MN , USA, United States

    1 week ago

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    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.

    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.

    Position Description


    As the Care Coordinator - Somali Population, you will coordinate services across the continuum of health care to meet the health and/or social service needs of members in Government plan products as assigned.

    You will serve as a liaison between Somali members, members' family, providers to address complex medical and/or psychosocial conditions.

    In addition, you will coordinate member services with identified primary care clinics/providers, care systems, specialists, clinic, county, and UCare personnel to achieve the most appropriate and cost-effective member care to optimize the long-term health of the member.

    In this role, you will identify and determine unmet needs and potential cultural barriers that inhibit the member's ability to achieve established goals and help remove barriers to achieve goals.


    • Collaborate with member to identify the individual's understanding and management of their current medical and/or psychosocial conditions.
    • Identify cultural barriers which influence member health care utilization, health knowledge and management of their health condition.
    • Participate in selected activities identified in the plan of care for Somali members who have complex medical and/or psycho-social conditions.
    • Collaborate with physician, care coordination supervisor, member and family member to identify and implement culturally acceptable interventions that will increase the member's knowledge of identified medical conditions, promote appropriate self-management behaviors for medical conditions, and promote appropriate health care utilization.
    • Attend in-person designated home visits, medical and diagnostic appointments with the member and/or family member(s), as appropriate to provide cultural interpretation of medical recommendations and treatments. Provide support to members during selected health care evaluations/procedures, increase member/family member understanding of medical/health conditions and treatments, and facilitate provider understanding of cultural barriers to member's adherence to/acceptance of treatments and diagnostic procedures.
    • Serve as a certified medical interpreter during in-person home visits.
    • Complete comprehensive assessment of assigned members in-person.

    Identify and monitor member needs, including needed preventive medical care, and significant changes in condition which may warrant early intervention for medical problems.

    Develop care plans to meet each member's individual needs. Incorporate ethnic and culturally appropriate approaches to care planning.

    • Present information on assigned members at assessment conferences and case reviews as appropriate.
    Enter member information in the clinical documentation system, Guiding Care software.
    Complete accurate, thorough and timely required documentation.

    • Meet and maintain all established caseload and performance metrics.
    • Ensure safe transitions when members move from one setting to another (i.e. being discharged from a hospital or skilled nursing facility).Ensure the plan of care is communicated between the sending and receiving settings for both planned and unplanned transitions.

    Support members and member families through care transitions between various facilities, acute and/or chronic settings, and community-based living situations including home.


    • Monitor and report all quality-of-care issues through the appropriate internal or external systems.
    • Assist with CMS Star Rating initiatives or HEDIS quality initiatives and project improvement planning as appropriate.
    • Attend internal and external meetings, including staff meeting, discharge planning conferences, community meetings.
    • Attend and participate in Somali community wellness events as requested and approved by UCare.
    • Must have reliable transportation to travel throughout Minnesota.
    • Other projects and duties as assigned.
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