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, including evaluating the availability of natural supports such as family members to ensure their ongoing mental and physical health. The Field Care Coordinator collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, and cost-effective patient care.

This is a field-based position with a home-based office, requiring travel throughout Page, Shenandoah, Rappahannock, and Warren Counties, VA, and surrounding areas to conduct in-depth assessments and develop care plans in enrollees' homes, nursing facilities, Adult Day Health centers, 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 within commutable distance of the assigned counties, 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 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 ability to travel within 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 working in team-based care.
• Long-term care/geriatric experience.
• Background in Managed Care.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase and 401k contribution (all benefits subject to eligibility requirements).

Pay

The hourly pay for this role ranges 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. We comply with all minimum wage laws as applicable.