Field Care Coordinator - New Mexico

UnitedHealth Group•Santa Fe, NM

17h•$29 - $52•Hybrid

About The Position

The Field Care Coordinator will be the primary care manager for a panel of members with low-to-medium complexity medical/behavioral needs. 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 position is full-time (40 hours/week) Monday-Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8 am to 5 pm. It may be necessary, given the business need, to work occasional overtime. This position is a field-based position with a home-based office. You will work from home when not in the field. If you reside in or within commutable driving distance to Albuquerque, Santa Fe, or Belin, New Mexico or within a commutable distance, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

Bachelor's degree OR 2+ years of relevant health care experience
2-year degree or higher with 3+ years of clinical experience
Current, unrestricted independent licensure as a Registered Nurse OR a Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Licensed Professional Clinical Mental Health Counselor, or Licensed Mental Health Counselor (LMHC) with 3 years of clinical experience
5+ years of relevant experience, including 3 years of clinical experience
4+ years of experience in a clinical environment (including 1+ years of experience as a Care Coordinator)
LPN with 3+ years of clinical experience
1+ years of experience with MS Office, including Word, Excel, and Outlook
Driver's license and reliable transportation and the ability to travel up to 50% of the time within assigned territory to meet with members and providers
Must have a designated workspace inside the home with access to high-speed internet availability
Reside in New Mexico

Nice To Haves

CCM certification
1+ years of community case management experience coordinating care for individuals with complex needs
Experience working in team-based care
Background in Managed Care
Reside in or within commutable driving distance to Albuquerque, Santa Fe, or Belin, NM

Responsibilities

Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs
Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines
Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health
Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission
Advocate for members and families as needed to ensure the member’s needs and choices are fully represented and supported by the health care team
Create a positive experience and relationship with the member
Practice cultural sensitivity and cultural competence in daily care
Learn and listen to member needs and barriers to help promote self advocating
Collaborating with clinical team of social aspects that might impact treatment plan
Proactively engage the member to manage their own health and healthcare
As needed, help the member engage with mental health and substance use treatment
Provide member education and health literacy on community resources and benefits to encourage self sufficiency
Support member to engage in work or volunteer activities, if desired, and develop stronger social supports through deeper connections with friends, family, and their community
Partner with care team (community, providers, internal staff)
Knowledge and continued learning of community cultures and values
Conduct Comprehensive Needs Assessment (CNA)