Remote Care Navigator for Complex, Chronic Needs

Optum

Pocatello (ID)

Hybrid

USD 60,000 - 108,000

Full time

4 days ago
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Benefits offered by this job

Comprehensive benefits package
401(k) plan
Stock purchase program

Job summary

UnitedHealth Group's UnitedHealthcare division in Idaho is seeking a Care Coordinator to serve as primary care manager for a panel of members with chronic and complex health care needs. This role supports the care team with clinical and non-clinical activities to promote person-centered care.

You will engage members, develop individualized care plans, coordinate with providers and community resources, and assist with HCBS and referrals.

Qualifications

  • Current and unrestricted Idaho license in one of the listed provider roles (LCSW/LMSW/LSW/LCPC/LPC/LMFT/LAMFT)
  • LPN/LVN license also acceptable
  • 2-year degree with 2+ years healthcare experience required

Responsibilities

  • Serve as the primary care manager for dual eligible members
  • Engage members in person or via telecommunication for comprehensive needs/wellness assessments
  • Develop and implement individualized, person-centered care plans
  • Collaborate with care team, providers, and community resources to implement plans
  • Assist members with obtaining HCBS and referrals
  • Support discharge planning and care transitions after ER visits or facilities
  • Educate and coach members for self-management and healthy lifestyle changes
  • Advocate for members to ensure their needs are represented
  • Assist with nonclinical inquiries related to credentialing or claims within the health plan

Skills

Care coordination
Medicaid/Medicare experience
Communication skills
Travel to meet members/providers
Bilingual in Spanish

Education

LCSW/LMSW/LSW/LCPC/LPC/LMFT/LAMFT license (Idaho)
LPN/LVN license (Idaho)
2-year degree + 2+ years healthcare experience

Tools

MS Office
Electronic Health Records (EHR)

Job description

UnitedHealth Group's UnitedHealthcare division in Idaho is seeking a Care Coordinator to serve as primary care manager for a panel of members with chronic and complex health care needs. This role supports the care team with clinical and non-clinical activities to promote person-centered care.

You will engage members, develop individualized care plans, coordinate with providers and community resources, and assist with HCBS and referrals.

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