Care Coordinator-Medica

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Full Time Professional St Paul, MN, US

Salary Range: $46,000.00 To $50,000.00 Annually

Come work for Keystone to support our mission of strengthening the capacity of individuals and families to improve their quality of life.

• A Flexible Workplace
• Great Work Culture
• Comprehensive job related training

Full Time employees at Keystone are offered a full slate of Benefits including: Medical, Dental, Vision, Flexible Savings Accounts and Health Savings Accounts. Benefit eligible employees also receive Sick and Vacation Leave, 12 Paid Holidays, Employer paid Life Insurance, Long Term Disability and Employer contributions to Health Savings Accounts and 403B matching.

Status: Regular, Full Time

Classification: Exempt

Reporting Relationship: Care Coordinator Supervisor – Medica

Program/Department: Senior Care Management Services

Salary Range: $46,000 - $50,000 annually

A Hiring Bonus of $1000.00 will be awarded to the candidate selected after 30 ($250.00) and 90 days ($750.00) of employment.

Position Description

A Care Coordinator provides person-centered assessment, planning, facilitation and advocacy for options and services to meet the needs of elderly or adults with disabilities who are 65 or older and enrolled with Medica Health Plan (MSHO/MSC+). Service area includes Hennepin and Ramsey County.

This position monitors the health and safety needs of individuals and intervene as necessary, ensure effectiveness of services provided and collaborate with other professionals working with those you serve.

This position maintains a caseload of 60 - 75 clients but can be subject to change per Medica contract requirements or at the discretion of the Program Director.

This position offers a Hybrid work model where the selected candidate will work three days in the office. Staff are required to work in office on Wednesdays, however the location of the remaining working week will be determined by the candidate chosen and the hiring team.

Essential Functions

95% Case Management

• Provide person-centered case management services that assist individuals enrolled on Medica Health Plan in locating and gaining access to needed waiver and other community services while meeting the person’s goals related to medical, social, housing, and various other preferred goal area.
• Complete assessments in the community, at facilities or via telephone per Medica contract to determine level of care and individual needs; gather information relevant to each person’s social and medical history by interviewing person and key family member.
• With the individual’s involvement, develop a person-centered care plan and monitor needs.
• Evaluate, facilitate and monitor services and individual progress in relationship to established goals and objectives. Works with the person to adjust service plans as necessary
• Provide education surrounding benefits including Medicare and Medicaid.
• Act as a liaison with community and referral services
• Maintain necessary records for continuity of service and reports to funding agencies
• Maintain accurate case notes. Document all actions related to case management coordination for the individual. This includes all face-to-face and indirect interactions or written correspondence with the individual, individual’s support system, service providers, and county/health plan staff. Documentation should reflect that active and consistent activity is taking place in an effort to support the person’s plan.
• Complete all required paperwork, reports, and charting simultaneously and in an organized manner

5% Other

• Assist with training new case managers as needed.
• Offer support to members of the team in area of expertise.
• Participate in team meetings, agency all staff meetings, health plan meetings and trainings.
• Actively participate in on-going professional growth and development; maintain appropriate professional behavior and participate in appropriate supervision.
• Obtain necessary CEU’s to maintain professional licensure status.
• Perform other duties as assigned.

Qualification Requirements

• Bachelor’s degree in Social Work or related field.
• Two years experience working with Minnesota Home and Community Based Wavier Programs (AC, EW, CADI, DD, BI, CAC) or Health Plan Care Coordination Experience with MSC+/MSHO.
• Experience working with seniors or disabled adults in a community based setting, including experience with assessing strengths and needs, and providing information, referral and follow-up to other community resources.
• Working knowledge of case management method of social work practice. Culturally competent. Excellent written and verbal communication skills. To perform this job successfully, candidate chosen must be competent in computer skills including database and internet experience as well as ability to type proficiently.
• Strong organizational skills, attention to detail, flexibility, teamwork and the ability to manage multiple demands each day. Ability to work independently while using supervision appropriately.
• A valid Minnesota driver’s license and current insurance as travel within Ramsey County and surrounding areas for required home visits.
• Must be able to pass a background and motor vehicle check.

Qualification Preferences

• Minnesota Social Work Licensure is preferred.
• Three or more years of social work experience working with Medicaid Waiver programs in Minnesota (Alternative Care, Elderly Waiver, CADI, DD, and BI Waivers) or working with a Managed Care Organization providing Minnesota Senior Health Options (MSHO) or Minnesota Care Options Plus (MSC+)

Physical/Mental Requirements

• Physical working conditions include frequent computer work and telephone calls and moving around the office. In addition, this position requires the employee to drive to meet with clients in their homes on a daily basis.
• Mental requirements include verbal and written communication abilities to conduct client assessments and develop care plans. Must possess good people and listening skills and be able to maintain client confidentiality. Must be able to professionally interact with Keystone staff and management, clients in the community and other social service organizations.
• Equipment/technology requirements include familiarity with Microsoft Office software, copier and fax machine.

The above statements are not intended to encompass all the functions and qualifications of this position. Rather, they are intended to provide a general framework of the requirements of the job. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

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