Field Care Coordinator - Danville and Pittsylvania County, VA

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized.

About the role

The Field Care Coordinator is responsible for facilitating, promoting, and advocating for the enrollees' ongoing self-sufficiency and independence. This position assesses and plans for an identified group of patients, evaluates the availability of natural supports such as family members, and collaborates with the Interdisciplinary Team to coordinate comprehensive, efficient, and cost-effective patient care.

This is a field-based position with a home-based office, traveling throughout Danville and Pittsylvania County, VA and surrounding areas to conduct in-depth assessments and develop care plans in enrollees' homes, nursing facilities, Adult Day Health, and Adult Living Facilities (ALF). The role involves assisting enrollees with care transitions, acting as a liaison between the Health Plan, the Commonwealth, enrollees, and their families, and following established professional standards of care, Commonwealth guidelines, and policy procedures.

If located in commutable distance of Danville and Pittsylvania County, VA, you will have the flexibility to work remotely. For hires in the Minneapolis or Washington, D.C. area, a minimum of four days per week in the office is required.

Responsibilities

• Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including medical, behavioral, functional, cultural, and socioeconomic needs.
• Develop and implement person-centered care plans to address needs, including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management, and member safety in alignment with evidence-based guidelines.
• Partner and collaborate with internal care teams, providers, and community resources/partners to implement care plans.
• Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health.
• Support proactive discharge planning and manage/coordinate care transitions following ER visits, inpatient or Skilled Nursing Facility (SNF) admissions.
• Advocate for members and families to ensure their needs and choices are fully represented and supported by the health care team.

Requirements

• Bachelor's degree in Social Work or Human Services (or related field).
• 3+ years of experience in care coordination, behavioral health, and/or work in a healthcare environment.
• 3+ years of experience working with members who have medical needs, the elderly, individuals with physical disabilities, and/or those who may have communication barriers.
• 1+ years of experience with MS Office, including Word, Excel, and Outlook.
• Driver's license, reliable transportation, and the ability to travel within assigned territory to meet with members and providers.

Preferred Qualifications

• Current and unrestricted Licensed Practical Nurse in the state of Virginia.
• CCM certification.
• Experience working with Medicaid/Medicare populations.
• Experience working in team-based care.
• Long-term care/geriatric experience.
• Background in Managed Care.

All telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay

The hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time employment, determined by factors including local labor markets, education, work experience, and certifications.

Benefits

In addition to salary, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements).