Remote Field Care Coordinator for Complex Cases

Jobtome; Cleveland (OH); Hybrid; USD 40,000 - 72,000; Full time

Benefits offered by this job

Competitive benefits package

401k contribution

Job summary

UnitedHealthcare is seeking a Care Coordinator to apply clinical knowledge to coordinate care for medically complex members with expansive support needs. The role covers Medicare/Medicaid populations, education, prevention, and six CMSA activities, across acute, home, and chronic settings.

Remote eligibility permits field-based work within commuting distance to Hamilton, Bradley, and McMinn Counties. Join a team that values collaboration with Case Management, Utilization Review and Behavioral

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, including Word, Excel, and Outlook.
• Excellent organization, communication and time management skills.
• Reside in or within a commutable driving distance to Hamilton, Bradley, and McMinn Counties.

Responsibilities

• Application of clinical knowledge to coordinate member care needs for assigned members who are primarily medically complex and require intensive medical and psychosocial support.
• 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.
• 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.

Job description

UnitedHealthcare is seeking a Care Coordinator to apply clinical knowledge to coordinate care for medically complex members with expansive support needs. The role covers Medicare/Medicaid populations, education, prevention, and six CMSA activities, across acute, home, and chronic settings.

Remote eligibility permits field-based work within commuting distance to Hamilton, Bradley, and McMinn Counties. Join a team that values collaboration with Case Management, Utilization Review and Behavioral