CASE MANAGER - MANAGED CARE

Ultipro; Glencoe (MN); On-site; USD 4,057,000 - 6,085,000; Full time

Job summary

McLeod County Health and Human Services Department is seeking a Managed Care Case Manager to perform intake, assessment, service planning and coordination for vulnerable populations. The role emphasizes collaboration with families, providers, and community partners to develop and monitor individualized care plans.

Responsibilities include eligibility determination for home and community-based programs, documenting services, and facilitating access to needed resources while adhering to federal,

Qualifications

• Bachelor's degree in social work or nursing or related field with 1+ year of home and community-based experience.
• RN licensure or MnCHOICES Assessor Certification.
• Valid driver's license and proof of insurance.

Responsibilities

• Provide care coordination, case management, referrals 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.
• Develop a support plan based on assessed needs and preferences.
• Evaluating and monitoring services identified in the support plan.
• Helping people access needed services.
• Collaborate in delivery of programs and activities for individuals and families that promote health and prevent disease.

Skills

Communication

Case Management

Coordination

Cultural Competence

Education

Bachelor's degree in social work

Bachelor's degree in nursing

Bachelor's degree in related field

RN licensure

Tools

Documentation systems

Public health data systems

Job description

• Pay or shift range: $25.78 USD to $38.67 USD
  The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, qualifications and other job-related reasons.

Description

Supplemental:

• The 2026 salary range for this position is $29.45 to $44.17per hour depending on experience.
  • Relevant previous experience will be taken into consideration.
  • Our organization values pay equity, and hiring at the maximum of the range is not typical.
• Communication updates will be send via email.
• Regular work hours are Monday through Friday, 8:00 AM to 4:30 PM

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.

ESSENTIALFUNCTIONS/RESPONSIBILITIES

Thefollowingdutiesarenormalforthisclassification.Thesearenottobeconstruedasexclusiveorall-inclusive.Otherdutiesmayberequiredandassigned.

Position Duties

• Provide care coordination, case management, referral and follow-up to individuals and familieswhoaremembersof a vulnerablepopulationand/orhigh-riskgroups.
• 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
• 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 healthassessment and health improvement planning andinterventions activities.
• Deliver targeted, culturally-appropriate information to help individuals and families understandhealthpromotionanddiseasepreventioninformation,policies,regulations, andlocalcode.
• Advocateonbehalfofvulnerableindividualsandpopulations.
• Maintaincaserecordswhichmeetfederal,stateandlocalguidelines.
• Providepublicinformationonsocialserviceprogramstothecommunityandspecialgroups.

Other

• 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.

NON-ESSENTIAL FUNCTIONS

• Attendmonthlyunitmeetingsandquarterlyallstaffmeetings.
• Perform job related duties as assigned or apparent.

MINIMUM QUALIFICATIONS

Education and Experience

• 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.

Required Certifications/Licenses

• 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, SKILLS, ABILITIES

• Knowledge of chart documentation requirements, medical record forms,Minnesota Department ofHumanServiceswaiverreviewstandards,Minnesotamanagedcareorganizationstandards,stateandfederallawsthatgovernreleaseofhealthcareinformationandclientconsentsrequiredtoreleasehealthinformation.
• Demonstratetheskillsrequiredtodelegatetasks,coordinateclientandfamilycare,andtoutilizecommunityresources.
• Abilitytoplan,assesses,andmakedecisionsunderpressure.
• Abilitytotoleratehighlevelsofstress.
• Abilitytomakeindependentjudgmentswithminimalconsultation.
• Abilitytocommunicatewithandunderstandtheproblemsfacedbyfamiliesfromallculturalandeconomiclevels.
• Abilitytoworkwithawidevarietyoffamiliesandcultures.

RELATIONSHIPS

• Regular interaction with County and Health and Human Services program leaders.
• Regular interaction with individuals referred for long term services and supports and their families and/or legal guardians to provide information about services, options, providers, and resources and gather information.
• Interaction with service providers for referrals, planning, service coordination, and assuring the needs, health and safety of individuals are met/assured.
• Interaction with medical, psychiatric, psychological, legal, educational, vocational, rehabilitation and other professionals and resources for referrals, information on services, and consultation.
• Other organizations serving groups of people with health needs to provide health consultation,carecoordination,casemanagement,resourcefinding,and healthpromotion.

SUPERVISORY RESPONSIBILITIES

• No direct supervision of employees.

WORKING CONDITIONS

• Work is mainly performed in an office setting, community clinics, hospitals, skilled nursing facilities,customized living facilities and in client homes and other community sites including, but not limitedto,workplacesandschools.
• Frequent travel may involve exposure to inclement weather conditions, unsanitary conditions inhomes andunsafe environments.
• Directserviceprovisionmayrequiredealingwithpersonswhoarehostile,aggressive,abusiveorthreatening.

PHYSICAL REQUIREMENTS OF THIS POSITION

• Deskworkinvolvinguseofacomputer,telephone,andotherdevices.
• Communicate effectively with County staff, families needing protective services, County Attorney,court personnel,andprobation.
• Abilitytoreadscreensanddocuments.
• Abilitytodriveinvariouslightandweatherconditions.
• Abilitytotypeand useacomputerormobiledevice.
• Office work may include reaching for documents, grasping documents, standing, walking, andrepetitivemotions.
• Liftandcarryfilesandmaterialweighingupto50pounds.

EQUIPMENT REQUIRED TO PERFORM THIS JOB

• Computers
• Telephones
• Motorvehicles

ADDITIONAL NOTES

• All positions in McLeod County are subject to a background check. This may include, but not limited to the following checks: criminal history, credit, driver’s license, pre-employment physical, pre- employment drug and alcohol screening, pre-employment psychological testing.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.