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MSHO/MSC+ Care Coordinator

HealthPartners
Bloomington, USA
Senior · 10+ years experience
Onsite
Discovered 3 days ago

Full Job Posting

REQUIRED QUALIFICATIONS

  • Social Worker or Registered Nurse considered RN with BSN preferred, must have current unrestricted license in the State of Minnesota. License free of history of restrictions and/or sanctions in the past 10 years in all states with current or past licensure
  • Minimum of 2 years of home and community based experience; experience with relevant utilization review, discharge planning, or case management experience; and current clinical knowledge
  • Demonstrated effective, independent professional judgment and skills
  • Demonstrated skill and experience in effectively collaborating with care team members, using a high level of expertise in written, oral and interpersonal communication
  • Demonstrated working knowledge of quality improvement, utilization management, MSHO/MSC+ plans, fiscal management. Understanding of healthcare and/or MCO industry
  • Demonstrated flexibility, organization, and appropriate decision-making under challenging situations
  • MnCHOICES Assessor Certification in place or within 3 months of hire date
  • Basic computer skills
  • CHALLENGES:
  • Maintaining member focus in a rapidly evolving environment.
  • Influencing team members and colleagues to work collaboratively in achieving the goals and objectives of the Case Management Program.
  • Contributing a positive team building approach as a member of the Case Management team, and a global member of the Case Management Department.
  • DECISION-MAKING:
  • Makes independent decisions within the scope of this position’s accountabilities and determines the need for and the timing of consultation with Case Management leadership and/or Medical Director.
  • Uses professional clinical judgment, organizational knowledge, industry knowledge, and common sense in determining appropriate alternatives for members/patients/families, consulting with leadership and/or Medical Director, when indicated.
  • Makes recommendations to leadership regarding policy development needs and/or changes.

Preferred Qualifications

  • Social Worker or Registered Nurse considered RN with BSN preferred, must have current unrestricted license in the State of Minnesota. License free of history of restrictions and/or sanctions in the past 10 years in all states with current or past licensure

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