Field Care Coordinator - Newport News, Hampton, VA

About the role

The Field Care Coordinator is responsible for facilitating, promoting, and advocating for enrollees' ongoing self-sufficiency and independence. This position conducts assessments and planning for an identified group of patients, assesses the availability of natural supports (such as representatives or family members) to ensure the ongoing mental and physical health of those supports, and collaborates with the Interdisciplinary Team to coordinate comprehensive, efficient, cost-effective patient care.

This is a field-based position with a home-based office requiring travel throughout Newport News, Hampton, VA and surrounding areas to conduct in-depth assessments in enrollees' homes, nursing facilities, Adult Day Health, and Adult Living Facilities (ALF). The coordinator actively assists with care transitions in collaboration with the Interdisciplinary Team, acute or skilled facility staff, enrollees, and their representatives, and acts as a liaison between the Health Plan, the Commonwealth, enrollees, and their families. All telecommuters must adhere to UnitedHealth Group's Telecommuter Policy.

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 addressing 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 team, 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 visit, inpatient, or Skilled Nursing Facility (SNF) admission
• Advocate for members and families to ensure members' 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 with communication barriers
• 1+ years of experience with MS Office, including Word, Excel, and Outlook
• Access to reliable transportation and valid US driver's license with 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 population
• Experience working in team-based care
• Long-term care/geriatric experience
• Background in Managed Care
• ACM Certification

Pay

The hourly pay for this role ranges from $24.00 to $43.00 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, and certifications.

Benefits

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