Hybrid Care Manager - Maternal Health at UCare

ABOUT UCARE

UCare offers Medicare, Medicaid, Individual and Family health plans – powered by the hardest working people in the industry. Our people powered teams de-complicate, advocate and always go the extra mile to help our members. We serve with integrity, compassion and commitment to do right by members, providers and government partners. Above all, we come to work excited to provide members a path for the best health of their lives. 

WORKING AT UCARE

Working at UCare is more than a career; it's a mission. A mission that defines us as professionals, unites us as an organization and shapes how we interact with our members and each other. Employees join UCare and stay because of the opportunity to have a purpose-driven job. 

Our strong culture has established UCare as a Star Tribune Top 200 Workplace for 16 consecutive years since the awards program began. It’s a culture that embraces innovative ideas, strategic partnerships, and exemplary customer and provider experiences. Working at UCare is being a part of a people powered team dedicated to making a real difference in the lives of our members and communities. 

CARE MANAGER – MATERNAL HEALTH

The current hiring base salary range for this role is:

$84,436 - $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.