Field Care Coordinator - Remote in Coeur d'Alene, ID

UnitedHealth Group•Coeur d'Alene, ID
•$29 - $52•Remote

About The Position

The Field Care Coordinator is part of the care management team and serves as the primary care manager for a panel of members with chronic and complex health care needs, including dual eligible members. The role provides clinical and non-clinical support using a person-centered approach to coordinate care for members’ medical, behavioral, and socioeconomic needs, promote appropriate service utilization, and improve quality of care. The position operates in a fast-paced environment requiring multitasking, attention to detail, and strong organizational skills. Candidates located in Coeur d'Alene, Idaho, or surrounding areas may work remotely, with travel within an assigned territory to meet members and providers. The role requires adherence to UnitedHealth Group’s Telecommuter Policy.

Requirements

  • Current Idaho license as an LCSW, LMSW, LSW, LCPC, LPC, LMFT, or LAMFT.
  • At least 1 year of experience working with people who have Medicaid or Medicare, or who have significant social drivers of health needs.
  • At least 1 year of experience with Microsoft Office, including Word, Excel, and Outlook.
  • Driver’s license, access to reliable transportation, and ability to travel within the assigned territory to meet members and providers up to 50% of the time, depending on member and business needs.
  • Access to a designated quiet workspace at home, separated from non-work areas, with the ability to secure protected health information.
  • Residence in a location that can receive a UnitedHealth Group-approved high-speed internet connection, or access to an existing high-speed internet service.
  • Pass a drug test before beginning employment.

Nice To Haves

  • Two-year degree and at least 2 years of experience, preferably as a healthcare paraprofessional.
  • Certified Case Manager (CCM) certification.
  • Experience documenting in an electronic health records (EHR) system.
  • Experience, additional training, or certifications in care in rural settings; homelessness; food insecurity; behavioral health; co-occurring conditions; intellectual and developmental disabilities; person-centered care; motivational interviewing; stages of change; or trauma-informed care.
  • Experience supporting individuals with complex and chronic conditions, including people residing in a nursing facility or meeting nursing facility level of care in the community.
  • Background in managed care.
  • Experience working in team-based care.
  • Bilingual ability in Spanish or another language specific to market populations.
  • Residence in Idaho.

Responsibilities

  • Serve as the primary care manager for dual eligible members.
  • Engage members face-to-face and/or by telephone to complete comprehensive needs or wellness assessments, including assessment of medical, behavioral, functional, cultural, and social drivers of health.
  • Develop and implement individualized, person-centered care plans with goals, opportunities, and interventions aligned with members’ readiness to change.
  • Collaborate with internal care teams, providers, and community resources to implement care plans and remove obstacles to members staying in or returning to the community when appropriate.
  • Assist members with obtaining necessary home- and community-based services (HCBS).
  • Provide referrals and linkages, as appropriate and accepted by the individual, to internal services and community-based providers.
  • Support proactive discharge planning and coordinate care transitions following emergency room visits, inpatient stays, or skilled nursing facility stays.
  • Provide education and coaching to support members’ self-management of care needs and lifestyle changes.
  • Advocate for members and families to ensure their needs and choices are represented and supported by the health care team.
  • Support providers and facilities with nonclinical questions, such as credentialing and claims, and connect them to appropriate health plan or UnitedHealthcare resources.

Benefits

  • Comprehensive benefits package, subject to eligibility requirements.
  • Incentive and recognition programs.
  • Equity stock purchase program.
  • 401(k) contribution, subject to eligibility requirements.
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