Field Care Coordinator: Remote & Field‑Based

Jobtome; Nashville (TN); Hybrid; USD 40,000 - 72,000; Full time

Benefits offered by this job

Comprehensive benefits

401k plan

Stock purchase program

Incentive programs

Job summary

UnitedHealthcare Care Coordination is seeking a capable Care Coordinator to manage complex member needs across the continuum. You will apply clinical knowledge to identify risk, educate members, and coordinate services for Medicare/Medicaid beneficiaries in a field-based role with possible remote work within Davidson County.

The role requires a healthcare-related degree or LPN license, 2+ years in case management, and strong organizational skills.

Qualifications

• Bachelor's degree or LPN license required.
• 2+ years of clinical case management experience.
• 1+ years of MS Office (Word, Excel, Outlook).
• Excellent organization, communication and time management.
• Reside in or within commuting distance to Davidson County.
• Ability to travel up to 75% within assigned territory.

Responsibilities

• Apply clinical knowledge to efficient case management for Medicare/Medicaid.
• Incorporate evidence-based clinical practices into care coordination.
• Deliver member-centered, self-management education.
• Ensure appropriate utilization and benefits application.
• Conduct telephonic and face-to-face assessments per policy.
• Advocate for members to resolve barriers to care.
• Coordinate community resource referrals to members/providers.
• Develop and maintain member-centered care plans.
• Collaborate with Care Coordination Team to improve care delivery.
• Monitor hospital encounters and provide interventions to reduce frequency.
• Refer decisions beyond authority to a manager for review.
• Participate in Health Plan Quality Improvement processes.
• Use Health Plan software to document and monitor care delivery.
• Maintain time-sensitive documentation per regulations.
• Coordinate services per Health Plan policy.
• Perform other duties as assigned.

Skills

Organizational skills

Communication skills

Time management

Education

Bachelor's degree in social work or related healthcare

LPN license

LCSW/LBSW/Master's in clinical field

Tools

MS Office

Job description

UnitedHealthcare Care Coordination is seeking a capable Care Coordinator to manage complex member needs across the continuum. You will apply clinical knowledge to identify risk, educate members, and coordinate services for Medicare/Medicaid beneficiaries in a field-based role with possible remote work within Davidson County.

The role requires a healthcare-related degree or LPN license, 2+ years in case management, and strong organizational skills.