Field Care Coordinator - Remote in Caldwell, ID

UnitedHealth Group•Caldwell, ID

3d•$29 - $52•Remote

About The Position

UnitedHealth Group is a health care and well-being company dedicated to improving health outcomes globally. As a Care Coordinator within the care management team, you will be the primary care manager for a panel of members with chronic and complex health care needs. This role supports the broader team with clinical and non-clinical activities, focusing on a person-centered approach to care coordination. Your efforts will address members’ medical, behavioral, and socioeconomic needs to promote appropriate service utilization and enhance the quality of care. This is a fast-paced environment requiring multitasking, attention to detail, and excellent organizational skills. This position offers the flexibility of remote work for individuals located in or near Caldwell, ID.

Requirements

Current LCSW, LMSW, LSW, LCPC, LPC, LMFT, LAMFT in the state of Idaho.
1+ years of experience working with people who have Medicaid/Medicare or 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 (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.
Access to reliable transportation and a valid US driver’s license.
Ability to travel within the assigned territory to meet with members and providers up to 50% of the time, depending on member and business needs.

Nice To Haves

Two-year degree and 2+ years of experience, preferably as a Healthcare Paraprofessional.
CCM certification.
Experience working with an electronic health records (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 meeting nursing facility level of care within the community.
Demonstrated background in Managed Care.
Experience working in team-based care.
Bilingual in Spanish or other language specific to market populations.
Reside 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, including medical, behavioral, functional, cultural, and social drivers of health (SDoH).
Develop and implement individualized, person-centered care plans with goals, opportunities, and interventions aligned with a person’s readiness to change to support optimal health and quality of life outcomes.
Partner and collaborate with the internal care team, providers, and community resources/partners to implement care plans and remove obstacles for members to remain in or return to the community.
Assist members with obtaining necessary HCBS supports and services.
Provide referrals and linkage to appropriate services, including internal consults (e.g., Housing Navigator, Pharmacy Team, Peer Specialist) or community-based providers (e.g., PCP, specialists, medication-assisted therapy).
Support proactive discharge planning and manage/coordinate care transitions following ER visits, inpatient stays, or Skilled Nursing Facility admissions.
Provide education and coaching to support member self-management of care needs and lifestyle changes.
Advocate for people and families to ensure members’ needs and choices are fully represented and supported by the health care team.
Support Provider and Facility non-clinical questions (credentialing, claims, etc.) by connecting them to the correct Health Plan and/or UHC resources.