Care Manager - Maternal Health - Current and unrestricted RN license in Minnesota required. Join to apply for the Care Manager - Maternal Health - Current and unrestricted RN license in Minnesota required. role at UCare
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Join to apply for the Care Manager - Maternal Health - Current and unrestricted RN license in Minnesota required. role at UCare
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The current hiring base salary range for this role is:
$84,436/year - $94,990/year
UCare anticipates paying within the above-references salary range for this position. The actual base salary offer for this position will be determined by a variety of components including but not limited to work experience, education, certifications, location of the role, internal equity, and other relevant factors.
LOCATION: Minneapolis, MN (Office for your Day or Work from Home)
Position Description
As a Care Manager - Maternal Health you will provide comprehensive, culturally responsive care management for high-risk pregnant and postpartum members, addressing medical, mental health, substance, social, and environmental needs. You will work across the continuum of care to support member engagement, promote healthy, full-term pregnancies, and reduce avoidable NICU admissions and emergency department visits. Collaborating with providers, counties, community agencies, and internal teams to develop and implement individualized care plans, identify and address barriers and ensure timely access to prenatal and postpartum services. You will play a critical role in advancing maternal health equity and improving outcomes through proactive outreach, education, and resource connection.
Provide member-centered telephonic care management for members across the continuum of pregnancy and childbirth addressing medical, Mental Health (MH), and/or Substance Use Disorders (SUD) conditions that focuses on connecting UCare members to appropriate services and resources.
Provide education on pregnancy, baby care, breastfeeding, and recovery post-delivery.
Understand and accurately interpret and apply relevant contractual requirements, policies, procedures and regulations for care management.
Partner with members and/or family members, primary care providers, clinic staff and other relevant agencies to assure appropriateness of service that meets member needs and supports desired outcomes.
Complete assessment of assigned members. Monitoring health condition of the mother and the baby during pregnancy and postpartum stages. Collaborate with member/caregiver in the development of a care plan appropriate to the member's needs. Ensure care plan goals are measurable, specific and timebound.
Monitor high-risk pregnant and postpartum members. Identify gaps in care, coordinate services, and support access to prenatal, postpartum, and preventative care in order to promote health birth outcomes.
Enter member information in UCare's clinical documentation software. Ensure documentation is accurate, thorough, and timely.
Meet and maintain all established caseload and performance metrics.
Attend internal and external meetings; may serve as team representative on cross departmental meetings as assigned.
Assist with CMS Star Rating/HEDIS initiatives and project improvement planning, as appropriate.
Other projects and duties as assigned.
Education
Registered Nurse (BSN preferred). Current and unrestricted RN license in Minnesota required.
Required Experience
At least two years clinical experience working with birthing people and two years’ experience in OB/GYN care coordination/case management across the continuum of health care (hospital, clinic, home care etc.). Emphasis on working with at risk, diverse populations.
Preferred Experience
Combination of Public Health work with families and children and working knowledge of managed care or commercial environments.
BENEFIT ELIGIBLITY
Candidates hired into this position will also be eligible to participate in the following benefit programs: Paid Time Off; Earned Safe and Sick Time; Paid Holidays; Parental Leave; 401K program; medical, dental, vision, life insurance; short-term and long-term disability insurance; Flexible Spending Account and/or Health Savings Account, subject to meeting the eligibility requirements and terms and conditions of these programs.
This job posting should not be construed as an offer of employment with certain terms, nor should it be construed as a guaranteed minimum. UCare's policies and benefits are subject to change in UCare's sole discretion, consistent with applicable law.
Seniority level Seniority level Not Applicable
Employment type Employment type Full-time
Job function Job function Health Care Provider
Industries Hospitals and Health Care
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