Remote Field Care Coordinator - WA & Unicoi

Jobtome; Johnson City (TN); Hybrid; USD 40,000 - 72,000; Full time

Job summary

UnitedHealthcare is seeking a Care Coordinator to apply clinical knowledge to coordinate complex member care needs and ensure access to services. This field-based role supports Medicare/Medicaid populations, collaborating with Case Management, Utilization Review, and Behavioral Health teams.

You’ll work with members located in Washington and Unicoi counties, with the option to work remotely within the territory. Strong clinical background and travel readiness are required.

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).
• Willing to travel up to 75% within assigned territory.
• Reside in or near Washington County with reliable transportation.

Responsibilities

• Apply clinical knowledge to efficient case management for Medicare/Medicaid benefits.
• Incorporate evidence-based clinical practices into care coordination.
• Deliver member-centered, individualized self-management support and education.
• Coordinate services across acute, home, chronic and alternative care settings.
• Document and monitor all aspects of member care coordination and service delivery.
• Collaborate with Care Coordination team to improve care quality and efficiency.
• Monitor hospital encounters and intervene to reduce frequency.
• Utilize Health Plan software to enter service requests and track care.

Skills

Clinical case management

Education

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

LCSW / CCM certification (preferred)

Tools

MS Office (Word, Excel, Outlook)

Job description

UnitedHealthcare is seeking a Care Coordinator to apply clinical knowledge to coordinate complex member care needs and ensure access to services. This field-based role supports Medicare/Medicaid populations, collaborating with Case Management, Utilization Review, and Behavioral Health teams.

You’ll work with members located in Washington and Unicoi counties, with the option to work remotely within the territory. Strong clinical background and travel readiness are required.