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MSHO Care Coordinator
2 weeks ago
University of Minnesota Physicians Minneapolis, United States Regular, Full timeWhy M Physicians? · Regardless of role, we recognize that every member of our team is vital The MSHO Managed Care Coordinator provides case management and coordination of care for designated health plan/MCO members with complex health and social needs This person will conduct com ...
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MSHO Care Coordinator, RN
3 weeks ago
University of Minnesota Physicians Minneapolis, United States Regular, Full timeWhy M Physicians? · Regardless of role, we recognize that every member of our team is vital The MSHO Managed Care Coordinator, RN provides case management and coordination of care for designated health plan/MCO members with complex health and social needs This person will conduct ...
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Supervisor MSHO Care Coordinator
3 weeks ago
University of Minnesota Physicians Minneapolis, United States Full timeWhy M Physicians? · Regardless of role, we recognize that every member of our team is vital The MSHO Care Supervisor helps to supervise the MSHO Program and oversees the managed care providers and staff, ensuring that all staff remain compliant with policies and mandates, and en ...
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MSHO Care Coordinator, RN
3 weeks ago
University of Minnesota Physicians Minneapolis, United States Regular, Full timeWhy M Physicians? · Regardless of role, we recognize that every member of our team is vital The MSHO Managed Care Coordinator, RN provides case management and coordination of care for designated health plan/MCO members with complex health and social needs This person will conduct ...
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MSHO Care Coordinator, RN
3 weeks ago
University of Minnesota Physicians Minneapolis, United States Full timeWhy M Physicians? · Regardless of role, we recognize that every member of our team is vital The MSHO Managed Care Coordinator, RN provides case management and coordination of care for designated health plan/MCO members with complex health and social needs This person will conduct ...
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MSHO Care Coordinator, RN
3 weeks ago
University of Minnesota Physicians Minneapolis, United States Full timeWhy M Physicians? · Regardless of role, we recognize that every member of our team is vital The MSHO Managed Care Coordinator, RN provides case management and coordination of care for designated health plan/MCO members with complex health and social needs This person will conduct ...
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Supervisor MSHO Care Coordinator
3 weeks ago
University of Minnesota Physicians Minneapolis, United States Regular, Full timeWhy M Physicians? · Regardless of role, we recognize that every member of our team is vital The MSHO Care Supervisor helps to supervise the MSHO Program and oversees the managed care providers and staff, ensuring that all staff remain compliant with policies and mandates, and en ...
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care coordinator
3 weeks ago
UCare Minnesota Minneapolis, MN , USA, United StatesABOUT 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 c ...
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care coordination supervisor
3 weeks ago
UCare Minnesota Minneapolis, MN , USA, United StatesABOUT 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 co ...
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Food Safety
1 week ago
The Judge Group Minneapolis, United StatesSummary of Position: The Food Safety & Quality Control Supervisor oversees the execution and coordination of all food safety and quality control systems for the Fortune International facility. This role is directly responsible to ensure the facility follows all SQF standards and ...
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Research Coordinator
6 hours ago
HHRI Minneapolis, United StatesThe Hennepin Healthcare Research Institute (HHRI) has an opening for a Clinical Research Fellow to support the research of Dr. Behnam Sabayan and the Cerebrovascular Care and Brain Health Research Lab being conducted at Hennepin Healthcare's HCMC. · At the HHRI, we have been act ...
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Research Coordinator
2 weeks ago
HHRI Minneapolis, United StatesJob Description · Job DescriptionThe Hennepin Healthcare Research Institute (HHRI) has an opening for a Clinical Research Fellow to support the research of Dr. Behnam Sabayan and the Cerebrovascular Care and Brain Health Research Lab being conducted Hennepin Healthcare's HCMC. · ...
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Research Coordinator
2 weeks ago
Hennepin Healthcare Research Institute Minneapolis, United States Regular, Full timeThe Hennepin Healthcare Research Institute (HHRI) has an opening for a Clinical Research Fellow to support the research of Dr. Behnam Sabayan and the Cerebrovascular Care and Brain Health Research Lab being conducted Hennepin Healthcare's HCMC. · This position requires an onsite ...
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Research Coordinator
1 week ago
Hennepin Healthcare Research Institute Minneapolis, United States Regular, Full timeThe Hennepin Healthcare Research Institute (HHRI) has an opening for a Clinical Research Fellow to support the research of Dr. Behnam Sabayan and the Cerebrovascular Care and Brain Health Research Lab being conducted at Hennepin Healthcare's HCMC. · At the HHRI, we have been acti ...
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Minimum Data Set
4 days ago
Villas At Brookview Golden Valley, MN, United States Full timeMinimum Data Set (MDS) Coordinator $5,000 sign-on bonus available POSITION SUMMARY The MDS Coordinator is accountable for overseeing the completion, editing, locking and transmission process of all MDS assessments. The overall responsibility of this position is to help assure tim ...
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Care Coordinator, LSW or RN
3 weeks ago
Bluestone Physician Services Saint Paul, United StatesJob Description · Job DescriptionBluestone Physician Services' unique, robust model of care goes beyond primary care services. Our model is tailored to patients living with multiple chronic conditions and disabilities. Bluestone recognizes that patients need a customized approach ...
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Care Coordinator, LSW or RN
3 weeks ago
Bluestone Physician Services Saint Paul, United StatesJob Description · Job DescriptionBluestone Physician Services' unique, robust model of care goes beyond primary care services. Our model is tailored to patients living with multiple chronic conditions and disabilities. Bluestone recognizes that patients need a customized approach ...
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Minimum Data Set
3 weeks ago
Villas at St. Paul Saint Paul, United StatesVillas at St. Paul - Minimum Data Set (MDS) Coordinator · POSITION SUMMARY · The MDS Coordinator is accountable for overseeing the completion, editing, locking and transmission process of all MDS assessments. The overall responsibility of this position is to help assure timely co ...
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Production Manager
1 week ago
Jobot Grove City, United StatesJob Description · Job DescriptionManufacturing - Come Join a Growing Team · This Jobot Job is hosted by: Ana Javalera · Are you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your resume. · Salary: $110,000 - $125,000 per year · A bit about us: · Based in ...
Care Coordinator – MSHO/MSC+ - Minneapolis, United States - UCare
Description
Position Description
As the Care Coordinator – MSHO/MSC+, you will be responsible to 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.Coordinate member services with appropriate 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.
· Collaborate with treatment providers, county and community agencies, and contracted and non-contracted providers to identify and coordinate provision of health care services for Government plan product members. Appropriately apply care coordination criteria, protocols and procedures.
· Understand and accurately interpret and apply relevant contractual requirements, policies, procedures, and regulations for members which care coordination is a provided service.
· Collaborate with members and/or family members, primary care physicians, clinic staff, providers, and other relevant agencies to assure appropriateness of service that meets member needs and ensures desired outcomes.
· Complete in-person comprehensive assessment of assigned members.Appropriately utilize interpreter services as needed.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, GuidingCare 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.
· Use appropriate communication tools per contractual and care model requirements.
· 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.
· Provide back-up coverage for other care coordinators as assigned.
· Must have reliable transportation to travel through designated counties in Minnesota.
· Other projects and duties as assigned.
Education
B.S. in nursing or B.A. in social work or a closely related field. Registered Nurse with a nursing diploma (3-year program) or associate degree in nursing with five or more years' experience also considered. Current and unrestricted Minnesota license as an RN is required or social worker is required. Licensure requirements may depend on assigned product(s).
Required Experience
Two year's experience in care coordination/case management across the continuum of health care (hospital, clinic, nursing home, home care etc.) with primary emphasis in working with complex social and medical problems.
MnCHOICES certifed assessor credential in place or with a plan to receive assessor credential within 3 months of hire date.
Preferred Experience
Managed care experience, experience with government programs, particularly Medicare, Medicaid and other State Public Programs. Experience working with multi-cultural populations desired.Bilingual in Hmong, Spanish, Russian, Somali or Vietnamese.
Care Coordinator – MSHO/MSC+ professionals in Minneapolis
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Kelly Brabec
Clinical Documentation Integrity Advisor, RN
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Marlene Rodriguez Souvannarath
Skilled and Goal-Oriented Worker