Field Care Coordinator - Remote in Idaho Falls, ID

UnitedHealth Group•Idaho Falls, ID

20h•$29 - $52•Hybrid

About The Position

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 healthcare 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 members’ 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. This is a hybrid-based position up to 50% of time in field when business requires with a home-based office. You will work from home when not in the field.

Requirements

Must meet one of the following: Current and unrestricted Idaho license in one of the below: RN, LCSW, LMSW, LSW, LCPC, LPC, LMFT, LAMFT, LPN/LVN
2-year degree (or higher) AND 2+ years of experience in healthcare or healthcare related industry
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 (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
Lives in Idaho
Access to reliable transportation and valid US driver’s license with the ability to travel within assigned territory to meet with members and providers up to 50% of time depending on member and business need

Nice To Haves

CCM certification
If individual with 2-year degree and 2+ years of experience, preferably as a Healthcare Paraprofessional
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 or that meet nursing facility level of care within the community
Background in Managed Care
Experience working in team-based care
Bilingual in Spanish or other language specific to market populations

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 (as appropriate), including assessment of medical, behavioral, functional, cultural, and social drivers of health (SDoH)
Develop and implement individualized, person-centered care plans inclusive of goals, opportunities and interventions aligned with a person’s readiness to change to support the best health and quality of life outcomes by meeting them where they are in their health journey
Partner and collaborate with the internal care team, providers, and community resources/partners to implement care plans and remove obstacles so the member can successfully stay in or return to the community (when appropriate)
Assist members with obtaining necessary HCBS support and services
Provide referrals and linkage as appropriate and accepted by the individual being served (may include internal consult opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.)
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 to promote health
Advocate for people and families, as needed, to ensure that the members’ needs and choices are fully represented and supported by the health care team
Support Provider and Facility nonclinical questions (credentialing, claims, etc.) connecting them to the correct Health Plan and/or UHC resources