Field Care Coordinator — Remote & Travel-Ready

Optum; Chattanooga (TN); Hybrid; USD 40,000 - 72,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive programs

Equity stock purchase

401k contribution

Job summary

UnitedHealthcare is seeking a Care Coordinator to apply clinical knowledge and coordinate complex member care across Medicare/Medicaid. You will work field-based, collaborating with Case Management, Utilization Review, and Behavioral Health teams to ensure access and quality outcomes.

The role requires a Bachelor’s in a health care field, 2+ years of case management, and ability to travel up to 75% within a defined Tennessee territory.

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 (Word, Excel, 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 Hamilton, Bradley, and McMinn Counties.

Responsibilities

• Apply clinical knowledge to efficient case management for Medicare/Medicaid benefits.
• Incorporate evidence-based clinical practices into care coordination.
• Deliver member-centered self-management support and education.
• Ensure appropriate utilization and consistent health benefits application.
• Conduct telephonic and face-to-face assessments per policy and timeframes.
• Serve as member advocate to resolve access barriers.
• Coordinate community resource referrals for members and providers.
• Develop and evaluate a member-centered care plan.
• Collaborate with Care Coordination team to improve care delivery.
• Monitor hospital encounters and provide education/interventions as needed.
• Refer non-authority-level decisions to manager for review.
• Participate in Health Plan Quality Improvement processes.
• Use Health Plan software to document and monitor care.
• Maintain time-sensitive documentation for regulatory compliance.
• Coordinate services per Health plan policy.
• Perform other duties as assigned.

Skills

Time management

Organizational skills

Communication skills

Travel readiness

Education

Bachelor's degree in Social Work, Nursing, or other health care profession including LPN

Tools

MS Office

Job description

UnitedHealthcare is seeking a Care Coordinator to apply clinical knowledge and coordinate complex member care across Medicare/Medicaid. You will work field-based, collaborating with Case Management, Utilization Review, and Behavioral Health teams to ensure access and quality outcomes.

The role requires a Bachelor’s in a health care field, 2+ years of case management, and ability to travel up to 75% within a defined Tennessee territory.