Field Care Coordinator - Page, Shenandoah, Rappahannock and Warren Counties, 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 (e.g., family members), and collaborates with the Interdisciplinary Team to coordinate comprehensive, efficient, and cost-effective patient care.

The Field Care Coordinator travels to enrollees' homes, nursing facilities, Adult Day Health centers, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop care plans. They assist with care transitions, act as a liaison between the Health Plan, the Commonwealth, enrollees, and their families, and follow professional standards, Commonwealth guidelines, and organizational policies.

This is a field-based position with a home-based office, requiring travel throughout Page, Shenandoah, Rappahannock, and Warren Counties, VA, and surrounding areas. If located within commutable distance of these counties, you may 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 addressing chronic health conditions, health promotion, social determinants of health, medication management, and member safety, aligned with evidence-based guidelines.
• Partner and collaborate with internal care teams, providers, and community resources to implement care plans.
• Provide education and coaching to support member self-management of care needs and lifestyle changes.
• Support proactive discharge planning and manage/coordinate care transitions following ER visits, inpatient stays, or Skilled Nursing Facility (SNF) admissions.
• Advocate for members and families to ensure their needs and choices are fully represented and supported by the healthcare 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.
• Driver's license, reliable transportation, and the ability to travel within the assigned territory to meet with members and providers.

Preferred Qualifications

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

Pay

The hourly pay for this role ranges from $24.00 to $43.00 per hour based on full-time employment, determined by factors such as local labor markets, education, work experience, and certifications. We comply with all minimum wage laws as applicable.

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).