Care Manager, Outpatient - MSHO Experience Needed

About the role

The Care Manager position at North Memorial Health is an integral member of the healthcare team. This role focuses on providing clinically-based care coordination to support efficient delivery of quality customer care. The Care Manager is accountable for managing an assigned caseload, creating and organizing care plans, and coordinating care for the most vulnerable or complex customers.

Responsibilities

• Supports the delivery of quality customer care as efficiently as possible.
• Ensures quality clinical outcomes and appropriate resource management within an assigned caseload.
• Works with the primary care provider and clinic care coordinator as an integral part of the care management team.
• Activates customers and forms meaningful relationships with customers/families.
• Develops care plans that prevent disease exacerbation, improve outcomes, and increase customer self-engagement in care.
• Meets compliance standards of specific health plans and other external agencies as appropriate.

Requirements

• 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. Ability to project a positive image through professional behavior and building positive relationships with customers, families, providers and other staff. Collaborate with other disciplines both in and out of the healthcare system. Problem-solving ability based on factual information and clinical knowledge. Understanding of behavioral strategies such as motivational interviewing. Understanding of concepts associated with utilization management.
• Licensure/Certification: Registered Nurse- State Requirement OR Licensed Social Worker- State Requirement.

Qualifications

The North Memorial Health System is committed to building a diverse, inclusive, and authentic workplace. 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.

Skills

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. Ability to project a positive image through professional behavior and building positive relationships with customers, families, providers and other staff. Collaborate with other disciplines both in and out of the healthcare system. Problem-solving ability based on factual information and clinical knowledge. Understanding of behavioral strategies such as motivational interviewing. Understanding of concepts associated with utilization management.

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

Pay

B21 ($35.31 - $52.97), based on experience

Schedule

Days 8 hours

Work Location

Remote