Field Care Coordinator - Remote in Lewiston, ID

NHSHP; Lewiston (ID); Hybrid; USD 83,097,000 - 149,001,000; Full time

Job summary

UnitedHealthcare is seeking a Care Coordinator to serve as the primary care manager for a panel of dual eligible members. You will conduct comprehensive assessments, develop individualized care plans, and coordinate with the care team to address medical, behavioral, and social drivers of health.

The role requires strong organizational skills, the ability to multitask, and the flexibility to work remotely up to 50% in Lewiston, ID or surrounding areas, with occasional in-person visits as needed.

Qualifications

• Idaho license in LCSW, LMSW, LSW, LCPC, LPC, LMFT, LAMFT or LPN/LVN or 2-year degree with 2+ years healthcare experience.
• 1+ years of experience with Medicaid/Medicare or SDoH needs.
• 1+ years of experience with MS Office (Word, Excel, Outlook).
• Access to a quiet workspace at home to secure PHI.
• Reside in an area with access to UnitedHealth Group approved high-speed internet.
• Ability to travel within the assigned territory up to 50% of time.

Responsibilities

• Serve as the primary care manager for dual eligible members.
• Engage members face-to-face and/or telephonically to complete comprehensive needs assessments and develop person-centered care plans.
• Collaborate with internal care teams, providers, and community resources to implement care plans and remove barriers.
• Assist members with obtaining HCBS supports and services.
• Provide referrals and liaise with internal or community-based providers as needed.
• Support discharge planning and care transitions after ER visits, inpatient stays, or SNFs.
• Educate and coach members for self-management and healthy lifestyle changes.
• Advocate for members to ensure their needs are met by the health care team.
• Support nonclinical questions from providers and facilities, connecting to the correct Health Plan or UHC resources.

Education

2-year degree (or higher)

CCM certification

Tools

MS Office (Word, Excel, Outlook)

EHR system

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

As a part of the care management team, the Care Coordinator will be the primary care manager for a panel of members with chronic and complex health care needs. This position will provide support to the broader team with clinical and non-clinical activities to support a person-centered approach to care coordination. 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 fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills.

If you are located in, Lewiston, ID or Surrounding areas, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Serve as the primary care manager for dual eligible members
• Engage people face-to-face and/or telephonically to complete a comprehensive needs assessment or wellness assessment (as appropriate), including assessment of medical, behavioral, functional, cultural, and social drivers of health (SDoH) 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 them where they are in their health journey
• Partner and collaborate with the internal care team, providers, and community resources/partners to implement care plans and remove obstacles so the member can successfully stay in or return to the community (when appropriate
• Assist members with obtaining necessary HCBS supports and services
• Provide referral and linkage as appropriate and accepted by the individual being served (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.)
• Support proactive discharge planning and manage/coordinate care transition following ER visit, inpatient or Skilled Nursing Facility
• Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health
• Advocate for people and families, as needed, to ensure that the member's needs and choices are fully represented and supported by the health care team
• Support Provider and Facility nonclinical questions (credentialing, claims, etc.) connecting them to the correct Health Plan and/or UHC resources

Required Qualifications:

• Must meet one of the following:
  • Current and unrestricted Idaho license in one of the below:
    • LCSW, LMSW, LSW, LCPC, LPC, LMFT, LAMFT
    • LPN/LVN
    • 2-year degree (or higher) AND 2+ years of experience in healthcare or healthcare related industry
• 1+ years of experience working with people that have Medicaid / Medicare or who have significant social drivers of health (SDoH) needs
• 1+ years of experience with MS Office, including Word, Excel, and Outlook
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Access to reliable transportation and valid US driver's license with the ability to travel within assigned territory to meet with members and providers up to 50% of time depending on member and business needs

Preferred Qualifications:

• Two-year degree and 2+ years of experience, preferably as a Healthcare Paraprofessional
• CCM certification
• Experience working with an electronic health records (EHR) system for documentation
• Demonstrated experience / additional training or certifications in care in rural settings homelessness, food insecurity, behavioral health, co-occurring conditions, IDD, Person Centered Care, Motivational Interviewing, Stages of Change, Trauma-Informed Care
• Experience supporting individuals with complex and chronic conditions including those residing in a nursing facility or that meet nursing facility level of care within the community
• Demonstrated background in Managed Care
• Experience working in team-based care
• Bilingual in Spanish or other language specific to market populations
• Reside in Idaho

*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.

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.