Clinical Care Coordinator - Mesa County, CO

UnitedHealthcare; Grand Junction (CO); Remote; USD 40,000 - 72,000; Full time

Job summary

UnitedHealthcare, including Rocky Mountain Health Plans, is seeking a Clinical Care Coordinator for Western Colorado. This home-based role focuses on managing a caseload of complex members, coordinating medical, behavioral, and socioeconomic needs to improve care utilization and outcomes.

The position emphasizes person-centered care plans, collaboration with care teams, and strong connections to community resources.

Qualifications

• Must meet one of the following: current, unrestricted independent licensure as a Social Worker; a 4-year or higher degree in a behavioral health field with 3+ years of direct experience; or an LPN with 5+ years of direct experience.
• 2+ years of experience in community health or healthcare setting
• 1+ year experience with local health providers or community support organizations addressing SDoH
• 1+ year experience with MS Office (Word, Excel, Outlook)
• Resident of Colorado
• Driver's license and transportation access

Responsibilities

• Engage members and families to complete comprehensive needs assessments (medical, behavioral, functional, cultural, SDoH)
• Develop and implement person-centered care plans aligned to readiness to change
• Collaborate with internal care team, providers, and community resources to execute care plans
• Provide referrals/linkages to Housing Navigator, Pharmacy Team, Peer Specialist, PCPs, and other providers
• Coordinate with community partners to support members with complex needs

Education

4-year or higher degree in behavioral health field

MS Office proficiency

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 to start

Caring. Connecting. Growing together.

Doing the right thing is a way of life at Rocky Mountain Health Plans (RMHP). As part of the UnitedHealthcare family of plans, RMHP provides innovative health insurance coverage and personalized attention to individuals of all ages and business of all sizes throughout Western and rural Colorado. RMHP is continually striving to improve the health and wellness of our Members and partners in the state where we live, work, and play - because we're Colorado, too.

As part of a care management team who will manage a caseload of complex members, the Clinical Care Coordinator will be the primary care manager for members with complex 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 is a home-based position in Western Colorado with field responsibilities approximately 50%-75% of the time.

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

Primary Responsibilities

• Engage members and/or their families face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs
• 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 the member where they are
• Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
• Provide referral and linkage as appropriate and accepted by member (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.)
• Work with community partners and stakeholders to provide comprehensive support for members with complex needs

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:
• Current, unrestricted independent licensure as a Social Worker
• 4-Year or Higher degree in a behavioral health related field (e.g., psychology, counseling, etc.) plus 3+ years of direct experience
• LPN with 5+ years of direct experience
• 2+ years of experience working within the community health setting or in a healthcare role
• 1+ year of experience with local health providers and/or community support organizations addressing the SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing / rapid re-housing assistance, etc.
• 1+ years of experience with MS Office, including Word, Excel, and Outlook
• Resident of Colorado
• Driver's License and access to reliable transportation

Preferred Qualifications

• Demonstrated experience / additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
• Experience working in team-based care
• Experience in serving individuals with co-occurring disorders (both mental health and substance use disorders)
• Bilingual in Spanish or other language specific to market populations
• Background in Managed Care
• All Telecommuters 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 and 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 $29.00 to $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

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