Msho Jobs (NOW HIRING)

HealthPartners is hiring an MSHO/MSC+ Care Coordinator. This position exists to provide support to patients, their families, and physicians in addressing medical and social concerns; educate and empower patients and families to make informed personal health care decisions; and facilitate communication between patient, physician, health plan and community.

Accountabilities:

• Member Focus
• Integration
• Communication
• Relationships and Team Building
• Technology
• Personal Development
• Other Duties

Current Dimension:

• Directly reports to Supervisor, Case Management.
• Directly manages caseload with anticipation of up to 85 members with complex needs.
• Interacts with medical, administrative, and front line staff within and outside the organization in order to collaborate on members care.

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.