Complex Care Coordinator (licensed)

About the role

At Umpqua Health, we’re more than a healthcare organization—we’re a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and well-being of individuals and families throughout Douglas County, Oregon. We provide integrated, whole-person care through primary care, specialty care, behavioral health services, and care coordination. Our collaborative approach ensures members receive high-quality, personalized care while supporting a stronger, healthier community.

The Care Coordinator provides comprehensive support for care management and care coordination activities for members enrolled in Medicaid and Medicare programs, including those receiving long-term services and support (LTSS) through waiver programs. This role manages a caseload of members, conducts in-home assessments, and collaborates with a multidisciplinary team to ensure integrated, high-quality care across the continuum. The position requires strong organizational skills, excellent communication, and the ability to work in a fast-paced environment while maintaining accuracy and compliance.

Responsibilities

• Performs comprehensive member assessments, including face-to-face and in-home visits as required
• 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 informally with team members
• Use motivational interviewing techniques to educate and support members
• Identify barriers to care and provide assistance to address psychosocial, financial, and medical concerns
• Develop prevention plans for critical incidents 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

Qualifications

• Active, unrestricted Oregon Registered Nurse (BSN or MSN) license with qualifications that meet the eligibility requirements to sit for the Certified Case Manager (CCM) examination
• Minimum of two (2) years of healthcare experience, including:
  • At least one (1) year of experience supporting individuals with disabilities or chronic conditions within Long-Term Services and Supports (LTSS)
  • At least one (1) year of experience in care management or a medical and/or behavioral health setting
• Valid driver’s license, reliable transportation, and current automobile insurance
• Proficiency in Microsoft Office Suite and ability to navigate electronic health records (EHR) and other care management systems
• Strong knowledge of Oregon community resources and experience working with diverse populations
• Strong time management, multitasking, and problem-solving skills
• Certified Case Manager (CCM) certification required within eighteen (18) months of hire

Skills

• Experience facilitating telephonic, video, and in-home assessments, as well as leading interdisciplinary care team (ICT) meetings and supporting comprehensive care planning (preferred)
• Knowledge of Medicaid and Medicare programs, including waiver services (preferred)
• Familiarity with regulatory and compliance standards within healthcare operations (preferred)
• Experience providing culturally competent care to diverse and underserved populations (preferred)
• Strong analytical skills with experience in accurate documentation within electronic systems (preferred)
• Excellent interpersonal, written, and verbal communication skills (preferred)
• Bilingual or additional language skills are considered a plus (preferred)

Benefits

• Generous benefits package including vacation PTO, sick leave, federal holidays, and birthday leave
• Medical, dental, and vision insurance
• 401(k) with company match (fully vested immediately)
• Company-sponsored life insurance and additional benefits
• Fitness reimbursement program
• Tuition reimbursement and more

Pay

Salary Range: $80,470‑$92,000

Schedule

Monday through Friday - 8:00 a.m.–5:00 p.m.; standard business hours with flexibility to meet service timelines.