Remote Care Navigator for Medicaid & LTSS

Umpqua Health LLC; Oregon (WI); On-site; USD 80,470 - 92,000; Full time

Benefits offered by this job

Vacation PTO

Sick leave

Federal holidays

Birthday leave

Medical, dental, and vision insurance

401(k) with company match

Life insurance

Fitness reimbursement

Tuition reimbursement

Job summary

Umpqua Health LLC is seeking a Remote Care Coordinator to manage care coordination for Medicaid and Medicare members, including LTSS beneficiaries. The role requires in-home assessments, care plan development, and collaboration with an interdisciplinary team to ensure integrated, high-quality care.

The position emphasizes organizational skills, communications, and compliance in a fast-paced environment, with travel of 25–40% locally and a comprehensive benefits package.

Qualifications

• Active, unrestricted Oregon licensure as an RN or LCSW, or a health/human services degree meeting CCM eligibility.
• Two years of healthcare experience, including at least one year in LTSS and care management or related settings.
• Valid driver’s license, reliable transportation, and current automobile insurance.
• Proficiency in Microsoft Office and ability to navigate EHR and care management systems.
• Strong knowledge of Oregon community resources and diverse populations.
• Strong time management, multitasking, and problem‑solving skills.
• CCM certification required within eighteen months of hire.

Responsibilities

• Perform comprehensive member assessments, including face-to-face and in-home visits.
• Develop and implement individualized care plans in collaboration with members, caregivers, physicians, and support networks.
• Monitor care plans for effectiveness, document interventions, and adjust as needed.
• Promote integration of services, including behavioral health, LTSS, and community resources.
• Evaluate benefits and advise on funding sources.
• Facilitate interdisciplinary care team (ICT) meetings and collaborate with team members.
• Use motivational interviewing techniques to educate and support members.
• Identify barriers to care and address psychosocial, financial, and medical concerns.
• Develop prevention plans to ensure member health and safety.
• Maintain accurate documentation in electronic systems and adhere to compliance standards.
• Travel locally (25–40%) for member visits; mileage reimbursement provided.
• Other duties as assigned.

Skills

Effective communication

Time management

Multitasking

Problem solving

Cultural competence

Education

Registered Nurse (RN) license

Licensed Clinical Social Worker (LCSW)

Health/human services degree (bachelor’s/master’s)

CCM certification eligibility

Tools

Microsoft Office

EHR systems

Job description

Umpqua Health LLC is seeking a Remote Care Coordinator to manage care coordination for Medicaid and Medicare members, including LTSS beneficiaries. The role requires in-home assessments, care plan development, and collaboration with an interdisciplinary team to ensure integrated, high-quality care.

The position emphasizes organizational skills, communications, and compliance in a fast-paced environment, with travel of 25–40% locally and a comprehensive benefits package.