Why M Physicians? Regardless of role, we recognize that every member of our team is vital! The MSHO Managed Care Coordinator, RN provides case management and coordination of care for designated health plan/MCO members with complex health and social needs! This person will conduct comprehensive health assessments of each member’s bio-psycho-social and environmental safety needs. Lead utilization of services to achieve efficient outcomes with the most efficient manner to meet the member’s needs! Ensures all CMS & State regulatory requirements are met in a timely manner. MSHO Managed Care Coordinator, RN- Overview Key responsibilities include but are not limited to: Carries a client caseload, completes Health Risk Assessments in the community, develops individualized Support Plans and assists in preventing unnecessary hospital and nursing home admissions allowing the member to remain in their community with all the vital supports available Incorporate an interdisciplinary/multidisciplinary and preventive focus to address concerns and resolve actual or potential health concerns Evaluates, documents and monitors member’s health and wellbeing through annual and interim assessments, phone calls, throughout patients care Facilitates timely referrals to Managed Care Specialists to identify service providers, initiate services and process authorizations Knowledgeable in taking care of emergent situations as well as chronic disease processes and member needs throughout the continuum of care Identifies areas of growth and needs and shares with management to implement improvements within policies and procedures Assists in the education and development of family medicine clinics and residents Minimum Qualifications: Licensed RN in the state of Minnesota Minimum of 1 year home and community based service experience Minimum of 2 years experience in MSHO/MSC Care Coordination Strong digital literacy in Microsoft Word, Excel, Access, Outlook, and Adobe Professional Reliable Transportation for home visits Home Internet hook-up for laptop Location: Remote with some on-site patient expectations Hours: 1.0 FTE Benefits: This is a fully benefit eligible position: Competitive wages, Healthcare (including vision & dental), 401K, parking & tuition assistance and more! University of Minnesota Physicians (M Physicians), a non-profit organization headquartered in Minneapolis, seeks motivated individuals for both clinical and non-clinical roles to drive innovation in health and medicine. Our inclusive culture offers competitive salaries, excellent benefits, and the opportunity for career development in the exciting field of health care to over 1,200 physicians, 300 advanced practice providers, and 2,200 health professionals and staff across Minnesota and beyond. Join us on a mission to advance medicine. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Company Overview: At University of Minnesota Physicians (M Physicians), we are on a mission to deliver exceptional patient care, advance medicine through research, and train the next generation of health professionals. M Physicians is the multi-specialty group practice for the University of Minnesota Medical School faculty clinicians, community-practice clinicians, advanced practice providers, and healthcare professionals. We serve the land grant mission of the University by providing high quality specialty and primary care, innovative and leading-edge cures and treatments, and access to the latest evidence-based care to patients across the state of Minnesota and beyond. Employment Update: As an organization deeply rooted in our community, it’s our responsibility to protect the wellbeing of our teams, provide a safe and healthy environment for those we serve, and to set an example for our neighbors. We take our obligation to care for our patients seriously. That is why M Physicians is requiring all employees, providers, learners and volunteers to receive an annual Flu vaccination unless a reasonable accommodation or exemption is granted. Application Instructions: External Candidates: Click “Apply” and sign in with your account. If you are a new applicant, select “Create Account”. Employees: If you are a current University of Minnesota Physicians employee, please log into Workday to access our Internal Careers Site. Contingent Workers: If you are not an employee but have an active Workday account with the University of Minnesota Physicians, please log into Workday and apply using the Find UMP Jobs Worklet.