CASE MANAGER - MANAGED CARE

Description: Supplemental: The 2026 salary range for this position is$29.45 to $44.17 per hour depending on experience. Relevant previous experience will be taken into consideration. Our organization values pay equity, and hiring at the maximum of the range is not typical. Communication updates will be send viaemail. Regular work hours are Monday through Friday, 8:00 AM to 4:30 PMThe Managed Care Case Manager’s responsibilities include, but are not limited to intake, assessment of needs, service planning, service plan implementation, service coordination, monitoring and follow-up, reassessment, case conferencing, and case closure. ESSENTIALFUNCTIONS/RESPONSIBILITIES Thefollowingdutiesarenormalforthisclassification. Thesearenottobeconstruedasexclusiveorall-inclusive. Otherdutiesmayberequiredandassigned.

Position Duties: Provide care coordination, case management, referral and follow-up to individuals and familieswhoaremembersof a vulnerablepopulationand/orhigh-riskgroups. Determine eligibility for home and community-based programs and long-term services and support. Developing a support plan based on people’s assessed needs and preferences Evaluating and monitoring services identified in the support plan Helping people access needed services Collaborate in delivery of programs and activities for individuals and/or families that promote health and prevent disease. Participate in McLeod County Health and Human Services Department’s community healthassessment and health improvement planning andinterventions activities. Deliver targeted, culturally-appropriate information to help individuals and families understandhealthpromotionanddiseasepreventioninformation, policies, regulations, andlocalcode. Advocateonbehalfofvulnerableindividualsandpopulations. Maintaincaserecordswhichmeetfederal, stateandlocalguidelines. Providepublicinformationonsocialserviceprogramstothecommunityandspecialgroups. Other Perform public health emergency response duties as assigned and consistent with job classification and training provided, in response to threats to the public’s health. Participate in department and community emergency response training and drills consistent with job classification in support of public health emergency and disaster preparedness. Utilize quality improvement (QI) and performance management (PM) processes and/or techniques to improve the effectiveness of the respective public health program. This includes, but is not limited to: creating, implementing, and evaluating performance standards and identifying, implementing, and assessing program quality improvement processes. NON-ESSENTIAL FUNCTIONS Attendmonthlyunitmeetingsandquarterlyallstaffmeetings. Perform job related duties as assigned or apparent.

Education and Experience: Bachelor’s degree in social work plus at least one year of home and community-based experience; Or Bachelor's degree in nursing with current licensure as a registered nurse along with public health certification and at least one year of home and community-based experience; Or Bachelor's degree in a closely related field plus at least one year of home and community-based experience; Or current licensure as a registered nurse with at least two years of home and community-based experience. Required Certifications/Licenses MnCHOICES Assessor Certification (training will be provided if applicant is not currently certified) Valid driver’s license and ability to maintain such license and proof of insurance. KNOWLEDGE, SKILLS, ABILITIES Knowledge of chart documentation requirements, medical record forms, Minnesota Department of Human Serviceswaiverreviewstandards, Minnesotamanagedcareorganizationstandards, stateandfederallawsthatgovernreleaseofhealthcareinformationandclientconsentsrequiredtoreleasehealthinformation. Demonstratetheskillsrequiredtodelegatetasks, coordinateclientandfamilycare, andtoutilizecommunityresources. Abilitytoplan, assesses, andmakedecisionsunderpressure. Abilitytotoleratehighlevelsofstress. Abilitytomakeindependentjudgmentswithminimalconsultation. Abilitytocommunicatewithandunderstandtheproblemsfacedbyfamiliesfromallculturalandeconomiclevels. Abilitytoworkwithawidevarietyoffamiliesandcultures. RELATIONSHIPS Regular interaction with County and Health and Human Services program leaders. Regular interaction with individuals referred for long term services and supports and their families and/or legal guardians to provide information about services, options, providers, and resources and gather information. Interaction with service providers for referrals, planning, service coordination, and assuring the needs, health and safety of individuals are met/assured. Interaction with medical, psychiatric, psychological, legal, educational, vocational, rehabilitation and other professionals and resources for referrals, information on services, and consultation. Other organizations serving groups of people with health needs to provide health consultation, carecoordination, casemanagement, resourcefinding, and healthpromotion.

SUPERVISORY RESPONSIBILITIES: No direct supervision of employees.

WORKING CONDITIONS: Work is mainly performed in an office setting, community clinics, hospitals, skilled nursing facilities, customized living facilities and in client homes and other community sites including, but not limitedto, workplacesandschools. Frequent travel may involve exposure to inclement weather conditions, unsanitary conditions inhomes andunsafe environments. Directserviceprovisionmayrequiredealingwithpersonswhoarehostile, aggressive, abusiveorthreatening.

PHYSICAL REQUIREMENTS: OF THIS POSITION Deskworkinvolvinguseofacomputer, telephone, andotherdevices. Communicate effectively with County staff, families needing protective services, County Attorney, court personnel, andprobation. Abilitytoreadscreensanddocuments. Abilitytodriveinvariouslightandweatherconditions. Abilitytotypeand useacomputerormobiledevice. Office work may include reaching for documents, grasping documents, standing, walking, andrepetitivemotions. Liftandcarryfilesandmaterialweighingupto 50pounds. EQUIPMENT REQUIRED TO PERFORM THIS JOB Computers Telephones MotorvehiclesADDITIONAL NOTES All positions in McLeod County are subject to a background check. This may include, but not limited to the following checks: criminal history, credit, driver’s license, pre-employment physical, pre- employment drug and alcohol screening, pre-employment psychological testing. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.