Complex Care Coordinator (licensed)

Umpqua Health; Oregon; Remote; USD 80.000 - 92.000; Vollzeit

Benefits dieser Stelle

Vacation PTO

Sick leave

Federal holidays

Birthday leave

Medical insurance

Dental insurance

Vision insurance

401(k) with match

Life insurance

Fitness reimbursement

Tuition reimbursement

Zusammenfassung

Umpqua Health is seeking a licensed Care Coordinator to provide comprehensive care management for Medicaid/Medicare members across Douglas County, Oregon. The role involves in-home assessments, care plan development, and coordination with an interdisciplinary team to ensure high-quality, integrated care.

The candidate must hold an active Oregon RN license (BSN/MSN) with CCM eligibility within 18 months of hire, have 2+ years in healthcare (LTSS and care management), and be proficient with EHR

Qualifikationen

• Active, unrestricted Oregon RN license (BSN/MSN) with CCM eligibility within 18 months of hire.
• Minimum 2 years healthcare experience, LTSS and care management exposure.
• Valid driver's license and reliable transportation.
• Proficiency with Microsoft Office and EHR navigation.

Aufgaben

• Perform in-home assessments and coordinate comprehensive care plans.
• Collaborate with members, caregivers, physicians, and support networks.
• Monitor and adjust care plans for effectiveness and compliance.
• Promote integrated services including behavioral health and LTSS.
• Explain benefits and funding sources to members; document interventions.
• Lead ICT meetings and support team collaboration; use motivational interviewing.
• Identify barriers to care and assist with psychosocial and medical needs.
• Develop prevention plans for safety; maintain accurate electronic records.
• Travel 25–40% locally for member visits; mileage reimbursed.

Kenntnisse

Microsoft Office

EHR systems

Time management

Communication skills

Multitasking

Ausbildung

RN license (Oregon)

CCM eligibility

Tools

Care management systems

EHR software

Jobbeschreibung

Salary Range: $80,470.00 To $94,550.00 Annually

LOCATION :

Remote

EMPLOYMENT TYPE :

Full-Time, Exempt Schedule: Monday–Friday, 8:00 a.m.–5:00 p.m. Salary Range : $ $80,470- $92,000

POSITION :

Care Coordinator Licensed

About Umpqua Health

At Umpqua Health, we’re more than a healthcare organization—we’re a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and well-being of individuals and families throughout Douglas County, Oregon. We provide integrated, whole-person care through primary care, specialty care, behavioral health services, and care coordination. Our collaborative approach ensures members receive high-quality, personalized care while supporting a stronger, healthier community.

POSITION PURPOSE

The Care Coordinator provides comprehensive support for care management and care coordination activities for members enrolled in Medicaid and Medicare programs, including those receiving long-term services and support (LTSS) through waiver programs. This role manages a caseload of members, conducts in-home assessments, and collaborates with a multidisciplinary team to ensure integrated, high-quality care across the continuum. The position requires strong organizational skills, excellent communication, and the ability to work in a fast-paced environment while maintaining accuracy and compliance.

ESSENTIAL JOB RESPONSIBILITIES

• Performs comprehensive member assessments, including face-to-face and in-home visits as require
• Develop and implement individualized care plans in collaboration with members, caregivers, physicians, and support networks.
• Monitor care plans for effectiveness, document interventions, and adjustment as needed.
• Promote integration of services, including behavioral health, LTSS, and community resources.
• Evaluate benefits and advise on funding sources.
• Facilitate interdisciplinary care team (ICT) meetings and collaborate informally with team members.
• Use motivational interviewing techniques to educate and support members.
• Identify barriers to care and provide assistance to address psychosocial, financial, and medical concerns
• Develop prevention plans for critical incidents to ensure member health and safety.
• Maintain accurate documentation in electronic systems and adhere to compliance standards.
• Travel locally (25–40%) for member visits; mileage reimbursement provided.
• Other duties as assigned.

MINIMUM QUALIFICATIONS

• Active, unrestricted Oregon Registered Nurse (BSN or MSN) license with qualifications that meet the eligibility requirements to sit for the Certified Case Manager (CCM) examination.
• Minimum of two (2) years of healthcare experience, including:
  • At least one (1) year of experience supporting individuals with disabilities or chronic conditions within Long-Term Services and Supports (LTSS).
  • At least one (1) year of experience in care management or a medical and/or behavioral health setting.
• Valid driver’s license, reliable transportation, and current automobile insurance.
• Proficiency in Microsoft Office Suite and ability to navigate electronic health records (EHR) and other care management systems.
• Strong knowledge of Oregon community resources and experience working with diverse populations.
• Strong time management, multitasking, and problem-solving skills.
• Certified Case Manager (CCM) certification required within eighteen (18) months of hire.

PREFERRED QUALIFICATIONS

• Experience facilitating telephonic, video, and in-home assessments, as well as leading interdisciplinary care team (ICT) meetings and supporting comprehensive care planning.
• Knowledge of Medicaid and Medicare programs, including waiver services.
• Familiarity with regulatory and compliance standards within healthcare operations.
• Experience providing culturally competent care to diverse and underserved populations.
• Strong analytical skills with experience in accurate documentation within electronic systems.
• Excellent interpersonal, written, and verbal communication skills.
• Bilingual or additional language skills are considered a plus.

SCHEDULE

Monday through Friday - 8:00am - 5:00pm; standard business hours with flexibility to meet service timelines.

SALARY

Wage Band: $80,470- $92,000

BENEFITS

• Salary is dependent on skills, experience, and education
• Generous benefits package including vacation PTO, sick leave, federal holidays, and birthday leave
• Medical, dental, and vision insurance
• 401(k) with company match (fully vested immediately)
• Company-sponsored life insurance and additional benefits
• Fitness reimbursement program
• Tuition reimbursement and more

Why Umpqua Health?

We are committed to advancing health equity by collaborating across communities, addressing systemic barriers, and ensuring fair access to care and resources. At Umpqua Health, every team member plays a vital role in making a meaningful impact, empowering healthier lives and strengthening the communities we serve.

Inclusive Culture

We foster a respectful, inclusive environment where employees feel valued, supported, and empowered.

Growth & Development

We support ongoing learning through mentorship, clear career pathways, and professional development opportunities.

Work/Life Balance

We promote flexibility and well-being so employees can thrive both professionally and personally.

Equal Opportunity

Umpqua Health is an equal opportunity employer that embraces individuals from all backgrounds. We prohibit discrimination and harassment of any kind, ensuring that all employment decisions are based on qualifications, merit, and the needs of the business. Our dedication to fairness and equality extends to all aspects of employment, including hiring, training, promotion, and compensation, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected category under federal, state, or local law.