Care Coordinator Jobs

About The Position

Requirements

• Hold a 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 MS Office, including Word, Excel, and Outlook.
• Have access to a designated quiet workspace at home, separated from non-work areas, with the ability to secure protected health information.
• Live in a location that can receive a UnitedHealth Group-approved high-speed internet connection or have existing high-speed internet service.
• Have reliable transportation and a valid U.S. driver’s license, with the ability to travel within the assigned territory to meet members and providers up to 50% of the time depending on member and business needs.
• Adhere to UnitedHealth Group’s Telecommuter Policy.
• 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.
• CCM certification.
• Experience documenting in an electronic health records system.
• Experience, additional training, or certifications in rural care, homelessness, food insecurity, behavioral health, co-occurring conditions, intellectual or 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 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 medical, behavioral, functional, cultural, and social drivers of health.
• Develop and implement individualized, person-centered care plans aligned with members’ goals and readiness to change.
• Collaborate with internal care teams, providers, and community partners to implement care plans and address barriers to remaining in or returning to the community when appropriate.
• Assist members in obtaining necessary home- and community-based services and supports.
• Provide referrals and linkages as appropriate and accepted by the member, including internal resources 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 and lifestyle changes.
• Advocate for members and families so their needs and choices are represented and supported by the health care team.
• Assist providers and facilities with nonclinical questions, such as credentialing and claims, by connecting them to the 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.