Case Manager -LTSS- Mesa County, Colorado

UnitedHealthcare; Grand Junction (CO); Hybrid; USD 37,000 - 55,000; Full time

Benefits offered by this job

Comprehensive benefits

Incentive programs

Equity stock purchase

401k contribution

Job summary

UnitedHealthcare is seeking a LTSS Case Manager to provide comprehensive case management and in-home visits across Colorado, including Mesa County. The role emphasizes confidentiality, documentation, and collaboration with supervisors to support members in long-term care settings.

You will conduct assessments, develop and monitor care plans, and ensure timely referrals. The position requires travel and adherence to policy while supporting equitable health outcomes.

Qualifications

• Bachelor’s degree in human behavioral sciences or related field, or equivalent experience.
• 5+ years of LTSS experience or a combination of education and experience.
• Proficiency in MS Office and transportation to meet members in territory.

Responsibilities

• Intake, assessment, referral, plan development and ongoing case management with documentation.
• Maintain confidentiality per policy and protect patient information.
• Contact members quarterly; perform face-to-face visits at least every six months and reassess as needed.
• Complete annual reassessments and monitor services per the care plan.
• Attend CMA and in-service trainings; ensure work complies with CMA contracts.
• Refer suspected abuse or neglect to authorities as required.
• Take on special projects and assist with system assessments.
• Travel within territory; validate Colorado licensure and liability insurance if driving.

Skills

MS Office proficiency

Transportation access

Local Mesa County resident

Education

Bachelor's degree in human behavioral sciences

5+ years LTSS experience

Combination of education and experience

Tools

MS Office (Word, Excel, Outlook)

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

Position in this function supports corporate objectives by utilizing a demonstrated competency of Long Term Services and Supports to provide Case Management. Participates in case conferences with the Supervisor.

Expect to spend about 50% of your time in assigned territory visiting our members in their homes or in long-term care facilities. You'll need to be flexible, adaptable and, above all, patient in all types of situations.

If you reside within Colorado and locally to Mesa County, CO, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities

• Intake/screening/referral, assessment/reassessment, development of support plans, on-going case management, monitoring of the Member's health and welfare, documentation of contacts and case management activities in the Department-prescribed system, resource development, and case closure
• Respect confidentiality and maintain confidences as described in the UHG Employee Handbook and acknowledged through signature by all employees. Maintain confidentiality of patient information. The ability to maintain confidentiality is a critical and essential component of this position
• Conduct monitoring contacts as prescribed by the Department. Contact the Member at least once within each quarterly period or more frequently as warranted by the Member's condition/or as determined by the rules of the LTSS Program in which the Member is enrolled
• Conduct face-to-face contact with the Member's at least every six months or more frequently if warranted by the Member's condition or the rules of the LTSS Program in which the Member is enrolled. Update the current approved assessment tool and care or support plan in the appropriate documentation system(s) to reflect any changes in condition or services
• Complete a new assessment during a face-to-face reassessment annually or more frequently if warranted by the Member's condition or if required by the rules of the LTSS Program in which the Member is enrolled. Complete additional assessments as needed/required
• Monitor the delivery of services and supports identified within the Support Plan and the Prior Authorization Request (PAR)
• Attend Department provided training for CMA agencies as well as agency provided in-service and staff development training
• Responsible to conduct Work that is in accordance with the CMA Contract Agreement's requirements. This includes but is not limited to, providing Work that is accurate, timely, and complete
• In the event, at any time throughout the case management process, the case manager suspects an individual to be a victim of mistreatment, abuse, neglect, exploitation or a harmful act, the case manager shall immediately refer the individual to the protective services section of the county department of social services of the individual's county of residence and/or the local law enforcement agency
• May take on special assignments and projects on an as needed basis. Assist with system assessment and development as needed
• This position requires travel. Requires independent, reliable, flexible, and on-demand, transportation at the incumbent's expense for travel between various locations and timely arrival and departure from various locations. If the employee chooses to satisfy this requirement by driving a vehicle, the employee must meet the requirements for Colorado licensure and company requirements for liability insurance coverage

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

• Must meet one of the following:
  • Bachelor's degree in one of the human behavioral science fields such as human services, social work, psychology, or public health
  • 5+ years of relevant experience in the field of LTSS
  • Combination of education and experience
• 1+ years of experience with MS Office, including Word, Excel, and Outlook
• Access to reliable transportation and the ability to travel up to 50% within assigned territory to meet with members and providers
• Reside locally to Mesa County, CO

Preferred Qualification

• Experience as a caseworker or case manager with LTSS population, in a private or public social services agency may substitute for the required education on a year for year basis
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as:

• a comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $27 - $40 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.