Field Care Coordinator - Chesapeake, Portsmouth, VA
About The Position
The Field Care Coordinator facilitates, promotes, and advocates for enrollees’ self-sufficiency and independence. The role assesses and plans care for an identified group of patients, including evaluating the availability of natural supports to help maintain enrollees’ mental and physical health. The coordinator collaborates with the Interdisciplinary Team to coordinate comprehensive, efficient, cost-effective care and acts as a liaison between the Health Plan, the Commonwealth, enrollees, and their families. This field-based role involves traveling to enrollees’ homes, nursing facilities, Adult Day Health settings, and Adult Living Facilities to conduct in-depth assessments and develop plans of care. The coordinator supports care transitions in partnership with the Interdisciplinary Team, facility staff, enrollees, and their representatives, following professional standards, Commonwealth guidelines, and applicable policies and procedures. The position has a home-based office and covers Chesapeake, Portsmouth, Virginia, and surrounding areas. Those within commuting distance may work remotely for some duties.
Requirements
- Bachelor’s degree in Social Work, Human Services, or a related field.
- At least 3 years of experience in care coordination, behavioral health, and/or a healthcare environment.
- At least 3 years of experience working with members who have medical needs, older adults, individuals with physical disabilities, and/or people who may have communication barriers.
- At least 1 year of experience with Microsoft Office, including Word, Excel, and Outlook.
- Reliable transportation and a valid U.S. driver’s license, with the ability to travel within the assigned territory to meet with members and providers.
- Adherence to UnitedHealth Group’s Telecommuter Policy for telecommuters.
- Pass a drug test before beginning employment.
Nice To Haves
- Current, unrestricted Licensed Practical Nurse license in Virginia.
- CCM certification.
- Experience working with Medicaid or Medicare populations.
- Experience working in team-based care.
- Long-term care or geriatric experience.
- Background in managed care.
- ACM certification.
Responsibilities
- Engage members face-to-face and/or by telephone to complete comprehensive assessments of medical, behavioral, functional, cultural, and socioeconomic needs.
- Develop and implement person-centered care plans addressing chronic conditions, health promotion and wellness, social determinants of health, medication management, and member safety in alignment with evidence-based guidelines.
- Collaborate with internal care teams, providers, and community resources or partners to implement care plans.
- Educate and coach members to support self-management of care needs and lifestyle changes that promote health.
- Support proactive discharge planning and coordinate care transitions following emergency room visits or inpatient or skilled nursing facility admissions.
- Advocate for members and families to ensure members’ needs and choices are represented and supported by the health care team.
- Assess the availability of natural supports, such as representatives or family members, to help ensure enrollees’ ongoing mental and physical health.
- Travel to members’ homes and care facilities to conduct assessments and develop plans of care.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase.
- 401(k) contribution, subject to eligibility requirements.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
