About the position
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As a part of the care management team, the Care Coordinator will be the primary care manager for a panel of members with chronic and complex health care needs. This position will provide support to the broader team with clinical and non-clinical activities to support a person-centered approach to care coordination. 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. This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills. If you reside within the state of Idaho in one of the following counties, Kootenai, Boundary, Bonner, Benewah, or Shoshone you will enjoy the flexibility to telecommute as you take on some tough challenges. This is a hybrid-based position up to 75% of time in field when business requires with a home-based office. You will work from home when not in the field.
Responsibilities
- Serve as the primary care manager for dual eligible members
- Engage people face-to-face and/or telephonically to complete a comprehensive needs assessment or wellness assessment (as appropriate), including assessment of medical, behavioral, functional, cultural, and social drivers of health (SDoH). Develop and implement individualized, person-centered care plans inclusive of goals, opportunities and interventions aligned with a person's readiness to change to support the best health and quality of life outcomes by meeting them where they are in their health journey
- Partner and collaborate with the internal care team, providers, and community resources/partners to implement care plans and remove obstacles so the member can successfully stay in or return to the community (when appropriate)
- Assist members with obtaining necessary HCBS supports and services
- Provide referral and linkage as appropriate and accepted by the individual being served (may include internal consult opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.)
- Support proactive discharge planning and manage/coordinate care transition following ER visit, inpatient or Skilled Nursing Facility
- Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health
- Advocate for people and families, as needed, to ensure that the member's needs and choices are fully represented and supported by the health care team
- Support Provider and Facility nonclinical questions (credentialing, claims, etc.) connecting them to the correct Health Plan and/or UHC resources
Requirements
- Must meet one of the following: Current and unrestricted Idaho license in one of the below: RN, LCSW, LMSW, LSW, LBSW, LCPC, LPC, LMFT, LAMFT
- 1+ years of experience working with people that have Medicaid / Medicare or who have significant social drivers of health (SDoH) needs
- 1+ year of experience with MS Office, including Word, Excel, and Outlook
- Reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 75% of time depending on member and business needs
- Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
- Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
- Must possess a valid US driver's license
Nice-to-haves
- CCM certification
- Experience working with an Electronic Health Record (EHR) system for documentation
- Demonstrated experience / additional training or certifications in care in rural settings homelessness, food insecurity, behavioral health, co-occurring conditions, IDD, Person Centered Care, Motivational Interviewing, Stages of Change, Trauma-Informed Care
- Experience supporting individuals with complex and chronic conditions including those residing in a nursing facility or that meet nursing facility level of care within the community
- Background in Managed Care
- Experience working in team-based care
- Bilingual in Spanish or other language specific to market populations
- Live in Idaho
Benefits
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
