Field-Based Care Coordinator (Remote Options)

Jobtome; Brentwood (NY); Hybrid; USD 40,000 - 72,000; Full time

Benefits offered by this job

Benefits package

Incentive programs

Equity stock purchase plan

401(k) contribution

Job summary

UnitedHealthcare is seeking a Care Coordinator to apply clinical knowledge in coordinating complex member care and facilitating access to services across the continuum. This field-based role collaborates with Case Management, Utilization Review and Behavioral Health teams to deliver proactive, member-centered care.

You'll assess needs, educate members, and coordinate resources while maintaining timely documentation and compliance with CMSA standards.

Qualifications

• Bachelor's degree in Social Work, Nursing or other health care profession including LPN.
• 2+ years of clinical case management experience.
• 1+ years of experience with MS Office, including Word, Excel, and Outlook.
• Excellent organization, communication and time management skills.
• Ability to travel up to 75% within an assigned territory to meet with members and providers.
• Reside in or within a commutable driving distance to Sevier County.
• Access to reliable transportation and valid US driver's license.

Responsibilities

• Apply clinical knowledge to coordinate case management for Medicare/Medicaid members.
• Incorporate evidence-based clinical practices into care coordination activities.
• Deliver member-centered, individualized self-management support and education.
• Ensure appropriate utilization and consistent application of health benefits.
• Conduct telephonic and face-to-face assessments per policy and timelines.
• Serve as member advocate to resolve barriers to care.
• Coordinate community resource referrals to members and providers.
• Develop and update member care plans with input from families and providers.
• Collaborate with Care Coordination team to improve quality and efficiency of care.
• Monitor hospital encounters and provide education/interventions to reduce frequency.
• Refer decisions beyond authority to manager for review.
• Participate in Health Plan Quality Improvement processes.

Skills

Bachelor's degree in health care field

2+ years clinical case management

1+ years MS Office (Word, Excel,Outlo​

Excellent organization & communication

Ability to travel up to 75%

Reside near Sevier County

Reliable transportation and US driver

Education

LCSW / LBSW preferred

Master's degree in Clinical Field

Tools

MS Office (Word, Excel, Outlook)

Job description

UnitedHealthcare is seeking a Care Coordinator to apply clinical knowledge in coordinating complex member care and facilitating access to services across the continuum. This field-based role collaborates with Case Management, Utilization Review and Behavioral Health teams to deliver proactive, member-centered care.

You'll assess needs, educate members, and coordinate resources while maintaining timely documentation and compliance with CMSA standards.