Care Manager, Outpatient - MSHO Experience Needed

Unknown Company; Robbinsdale (MN); Remote; USD 66,000 - 110,000; Full time

Benefits offered by this job

Health insurance

401k retirement plan

Paid time off

Adoption reimbursement

Child care discount

Education reimbursement

Fitness center access

Job summary

North Memorial Health is seeking a Care Manager to coordinate clinically-based care across primary care and specialty clinics. You will ensure optimal care for complex cases, including acute and chronic disease management, across multiple health settings and physicians.

The role requires RN licensure or MSW background, 5 years of care coordination experience, and strong communication. Remote work option with standard day shifts may apply.

Qualifications

• Graduate from an accredited school of nursing or social work program as described in the job requirements.
• RN licensure or social work licensure required depending on track.
• Experience in care coordination and utilization management preferred.

Responsibilities

• Provide clinically-based care coordination to support quality customer care.
• Coordinate care with primary care providers and clinic care teams.
• Develop care plans and monitor outcomes across diverse settings.
• Apply assessment, planning, implementation, monitoring and evaluation steps.
• Engage customers and families to activate and sustain care plans.
• Demonstrate knowledge of utilization management concepts.

Skills

Care Coordination

Communication skills

Motivational interviewing

Problem solving

Collaboration

Customer interaction

Education

Registered Nurse licensure

BSN/BAN preferred

BSW from accredited program

Job description

Why North Memorial Health?

At North Memorial Health, you’re part of an inclusive health team that is rooted in our values: Advocate Courageously, Rally Together, Respect Uniqueness and Create Impact. Empathy and care are at the heart of North’s culture which is designed to actively support each team member’s wellbeing and growth. Our strength lies in our diversity, and we embrace the unique contributions and experiences of each person. Together, we empower patients to achieve their best health.

Our health system encompasses two hospital locations in Robbinsdale and Maple Grove as well as a network of 23 clinics which includes 13 primary clinics, 6 specialty clinics, 4 urgent care/urgency centers and emergency care offerings covering five counties. Our Robbinsdale Hospital, established in 1954, is a 385-bed facility recognized as the top Level 1 Trauma center for 25 years, as well as serving as a Level II pediatric trauma center. Our Maple Grove Hospital was established in 2009, is a 134-bed facility recognized as a top hospital in the state for Women and Children Care, with a Level III NICU, and is the largest Family Birth Center in the state (~5,000 deliveries per year and over 60,000 babies delivered). Both have been named to the 2022 Fortune/Merative 100 Top Hospitals® list, 2023 Women’s Choice Award Best Hospitals list.

Benefits the North Way!

As North Memorial Health is a non-profit organization you are eligible for the Public Student Loan Forgiveness program. Most part-time and all full-time positions are eligible for benefits.

• Health & Welfare Benefit Packages
• 401k Retirement Match or Pension Plan, based on workgroup eligibility
• Generous Paid Time Off (PTO) Plans
• Adoption Reimbursement up to $3000 per child
• Child Care Discount Program with New Horizon 10% off weekly childcare tuition
• Education/Tuition Reimbursement
• 24/7 Fitness Center Access for all benefit eligible team members

Commitment to Diversity, Equity & Inclusion

At North Memorial Health we recognize that the strength of our team lies in our diversity and make every effort to embrace the unique contributions and experiences of each person on our team. We strive to ensure that everyone feels like they are a valuable part of our community, with initiatives that reinforce our belief in diversity, equity, and inclusivity, to promote a workforce that enables authenticity, as we want to be our best when providing effective services to our patients. We acknowledge and celebrate the unique traditions, backgrounds, languages, beliefs, and customs of our community, and want everyone to feel welcome. Through our DE&I initiatives we hope to dispel myths, assumptions, and acts of implicit bias.

About this position

Care Manager: As an integral member of the health care team, the care manager provides clinically-based care coordination to support the delivery of quality customer care as efficiently as possible. The care manager has accountability for individual customers ensuring quality clinical outcomes and appropriate resource management within an assigned caseload.

The care manager works with the primary care provider and clinic care coordinator as an integral part of the care management team to ensure that care for the most vulnerable or complex customers is coordinated and managed. Customers must receive optimal care including acute illness management, chronic disease management, and preventive care across multiple health settings and multiple physicians/providers.

The care manager applies the process of assessment, planning, implementation, monitoring, evaluation and coordination of care to meet the customer's health care needs across the continuum.

The care manager must activate the customer and form meaningful relationships with customers/families. Must develop care plans that prevent disease exacerbation, improve outcomes and increase customer self engagement in care. Must demonstrate an understanding of customer-centered care. The care manager must also meet the compliance standards of specific health plans and other external agencies as appropriate.

This is not a leadership position.

Requirements

Education

• Graduate from an accredited school of nursing required; BSN or BAN preferred; or BSW from an accredited school of social work.

Experience

• Care Coordination experience 5 years required.
• Must have at least 2 years of MSHO Care Coordination experience

Knowledge, Skills and Abilities

• Excellent verbal and written communication skills required.
• Needs assessment skills.
• Evaluation skills.
• Knowledge of relevant policies and procedures.
• Customer interaction and motivational skills.
• Customer triage skills.
• Project a positive image through professional behavior and building positive relationships with customers, families, providers and other staff.
• Demonstrated ability to collaborate with other disciplines both in and out of health care system.
• Demonstrated ability to problem solve proactively using sound judgment based on factual information and clinical knowledge.
• Demonstrated ability to use behavioral strategies such as motivational interviewing.
• Demonstrated understanding of concepts associated with utilization management.

Licensure/Certification

• Registered Nurse- State Requirement

OR

• Licensed Social Worker- State Requirement

The North Memorial Health System is dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role, but your past experience doesn’t perfectly align with every qualification listed, we encourage you to apply anyway. You may still be the right candidate for this or other roles.

Work Group: Non Contract

Hourspertwoweekpayperiod: 80

Shift: Days 8 hours

WeekendRequirement: None

Call Requirement: None

Remote or On-site:Remote

FLSA Status: Exempt

Benefit Eligibility: Health insurance benefits are available for this position. North Memorial Health offers multiple health plans based on work group eligibility.

Salary Range:B21 ($35.31 - $52.97), based on experience

Shift Differential: Compensation may include shift differential pay depending on the position and shift worked.

Employment Sponsorship:Applicants must be currently authorized to work in the United States on a full-time basis. Work visa sponsorship is not available for this position