HSS Coordinator - Remote in VA Market

UnitedHealth Group•Richmond, VA

23h•Remote

About The Position

The Care Coordinator will be the primary care manager for a panel of intellectually disabled/developmentally delayed members with low-to-high complexity medical/behavioral needs. Care coordination activities will focus on supporting member’s medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. For consideration, you must reside in the State of VA. If you reside within the state of VA, you will have the flexibility to work remotely. However, you will need access reliable transportation as this role may require occasional field work to meet face-to-face with our members.

Requirements

Bachelor’s degree in health or human services Field OR LMHP OR RN/LPN OR QMHP OR LMSW OR LBSW OR MSW OR BSW
1+ years of care coordination or behavioral health experience and/or work in a healthcare environment
1+ years of experience with MS Office, including Word, Excel, and Outlook
Experience working with members who have medical needs, intellectual disabilities, developmental delays, or individuals with physical disabilities and/or those who may have communication barriers
Driver’s license and access to reliable transportation and the ability to travel within assigned territory to meet with members and providers
Reside in Virginia

Nice To Haves

CCM certification
QIDP
Experience working with Medicaid/Medicare population
Long term care/geriatric experience
Experience working in team-based care
Background in Managed Care

Responsibilities

Engage members telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs
Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines
Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health
Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission
Advocate for members and families as needed to ensure the member’s needs and choices are fully represented and supported by the health care team