Remote Field Care Coordinator — Medicare/Medicaid

Optum; Johnson City (TN); Hybrid; USD 60,000 - 108,000; Full time

Benefits offered by this job

Telecommuter Policy

Job summary

UnitedHealth Group is seeking a Care Coordinator to apply clinical knowledge for coordinating Medicare/Medicaid member care. This field-based role requires travel to meet members and providers and supports various care settings with a focus on cost-effective, quality delivery.

You will collaborate with Case Management, Utilization Review, and Behavioral Health teams to create member-centered care plans and ensure timely documentation and compliance.

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 experience (Word, Excel, Outlook).
• Reside in or within commutable driving distance to Washington county.
• Access to reliable transportation and valid US driver's license with ability to travel up to 75% within an assigned territory.

Responsibilities

• Apply clinical knowledge to effect efficient case management for those accessing Medicare/Medicaid.
• Incorporate evidence-based clinical practices into care coordination activities.
• Deliver member-centered, individualized self-management support and patient education.
• Ensure appropriate utilization and consistent application of health benefits.
• Conduct telephonic and face-to-face assessments per Health Plan policy.

Skills

Organization

Communication

Time management

Travel ability

Team collaboration

Education

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

Tools

MS Office (Word, Excel, Outlook)

Job description

UnitedHealth Group is seeking a Care Coordinator to apply clinical knowledge for coordinating Medicare/Medicaid member care. This field-based role requires travel to meet members and providers and supports various care settings with a focus on cost-effective, quality delivery.

You will collaborate with Case Management, Utilization Review, and Behavioral Health teams to create member-centered care plans and ensure timely documentation and compliance.