Field Care Navigator for Complex Medical Needs

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

Benefits offered by this job

Telecommuter Policy

Comprehensive benefits package

401k contribution

Job summary

UnitedHealth Group's UnitedHealthcare division is hiring a Care Coordinator to apply clinical knowledge to coordinate care for medically complex members. This field-based role supports members with Medicare/Medicaid benefits, emphasizing education, self-management, and barrier removal to care.

Remote work flexibility is available within commutable driving distance to Hamilton, Bradley, and McMinn Counties. Primary responsibilities include creating member-centered care plans, ensuring appropriate

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 MS Office, including Word, Excel, and Outlook.

Responsibilities

• Application of clinical knowledge to effect efficient case management for those accessing their Medicare/Medicaid benefits.
• Incorporates evidence-based clinical practices into care coordination activities.
• Delivers member-centered, individualized self-management support and patient education.
• Ensure appropriate utilization and consistent application of the health benefits.
• Conduct telephonic and face to face assessments according to Health Plan policy and procedure, including system documentation and State prescribed timeframes.
• Serve as member advocate and facilitator to resolve issues that may be perceived as barriers to care.
• Provide education and coordination of community resource referrals to members and providers.

Education

Bachelor's degree in social work, nursing or other health care profession including LPN

Tools

MS Office

Job description

UnitedHealth Group's UnitedHealthcare division is hiring a Care Coordinator to apply clinical knowledge to coordinate care for medically complex members. This field-based role supports members with Medicare/Medicaid benefits, emphasizing education, self-management, and barrier removal to care.

Remote work flexibility is available within commutable driving distance to Hamilton, Bradley, and McMinn Counties. Primary responsibilities include creating member-centered care plans, ensuring appropriate