Field Care Coordinator, Nursing Facilities

UnitedHealth Group • Nampa, ID

294d • $28 - $56 • Remote

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.

Requirements

• Current and unrestricted Idaho license in one of the following: 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+ years of experience with MS Office, including Word, Excel, and Outlook
• Access to a designated quiet workspace in your home with the ability to secure Protected Health Information (PHI)
• Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection
• Must possess a valid US driver's license
• Access to reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 75% of time

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
• Background in Managed Care
• Experience working in team-based care
• Bilingual in Spanish or other language specific to market populations
• Lives in Idaho

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
• Develop and implement individualized, person-centered care plans
• Partner and collaborate with the internal care team, providers, and community resources/partners to implement care plans
• Assist members with obtaining necessary HCBS supports and services
• Provide referral and linkage as appropriate and accepted by the individual being served
• 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
• Advocate for people and families to ensure that the member's needs and choices are fully represented
• Support Provider and Facility nonclinical questions connecting them to the correct Health Plan and/or UHC resources

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.)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree