Field Care Coordinator - Remote in NM

UnitedHealth Group•Rio Rancho, NM
•$24 - $43•Hybrid

About The Position

The Field Care Coordinator serves as the primary care manager for a panel of members with low-to-medium complexity medical and behavioral needs. The role coordinates care for members’ medical, behavioral, and socioeconomic needs to promote appropriate service utilization and improve quality of care. The coordinator engages members face-to-face and by phone, develops person-centered care plans, and works with internal care teams, providers, and community partners to put those plans into action. This is a full-time, 40-hour-per-week position, Monday through Friday. Employees must be flexible to work any eight-hour shift during normal business hours, 8 a.m. to 5 p.m.; occasional overtime may be necessary. The role is field-based with a home-based office, and work is performed from home when not in the field. Applicants must reside in the Albuquerque or Rio Rancho, New Mexico area and travel within the assigned New Mexico territory to meet members and providers. UnitedHealthcare describes its mission as simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The company states that it is committed to an inclusive workplace and equal employment opportunity. Candidates are required to pass a drug test before beginning employment.

Requirements

  • Bachelor’s degree or at least 2 years of relevant health care experience.
  • At least 1 year of experience with MS Office, including Word, Excel, and Outlook.
  • Valid driver’s license, reliable transportation, and ability to travel up to 50% of the time within the assigned New Mexico territory to meet with members and providers.
  • Designated workspace in the home and access to high-speed internet.
  • Currently reside in the Albuquerque or Rio Rancho, New Mexico area.

Nice To Haves

  • CCM certification.
  • At least 1 year of community case management experience coordinating care for individuals with complex needs.
  • Experience in managed care.
  • Experience working in team-based care.

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.
  • Partner and collaborate with internal care teams, providers, and community resources 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, inpatient stays, or skilled nursing facility admissions.
  • Advocate for members and families so their needs and choices are represented and supported by the health care team.
  • Create a positive experience and relationship with members.
  • Practice cultural sensitivity and cultural competence in daily care.
  • Listen to members’ needs and barriers and help promote self-advocacy.
  • Collaborate with the clinical team about social factors that may affect treatment plans.
  • Proactively engage members in managing their own health and health care.
  • Help members engage with mental health and substance use treatment as needed.
  • Provide education about health literacy, community resources, and benefits to encourage self-sufficiency.
  • Support members who wish to engage in work or volunteer activities and develop social supports through connections with friends, family, and their community.
  • Continue learning about community cultures and values.
  • Conduct Comprehensive Needs Assessments (CNAs).

Benefits

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