Field Care Coordinator - Remote in Ada County, ID and Surrounding Areas

About the role

As a part of the care management team, the Care Coordinator will serve as the primary care manager for dual eligible members. This role involves engaging people face-to-face and/or telephonically to complete comprehensive needs assessments or wellness assessments, developing and implementing individualized care plans, and collaborating with the internal care team, providers, and community resources to support members' health and quality of life.

Responsibilities

• Serve as the primary care manager for dual eligible members
• Engage people face-to-face and/or telephonically to complete a comprehensive needs assessment or wellness assessment (as appropriate)
• Develop and implement individualized, person-centered care plans inclusive of goals, opportunities, and interventions aligned with a person's readiness to change
• Partner and collaborate with the internal care team, providers, and community resources/partners to implement care plans and remove obstacles so the member can successfully stay in or return to the community (when appropriate)
• Afford assistance with obtaining necessary HCBS supports and services
• Provide referral and linkage as appropriate and accepted by the individual being served (may include internal consult opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.)
• Support proactive discharge planning and manage/coordinate care transition following ER visit, inpatient or Skilled Nursing Facility
• Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health
• Advocate for people and families, as needed, to ensure that the member's needs and choices are fully represented and supported by the health care team
• Support Provider and Facility nonclinical questions (credentialing, claims, etc.) connecting them to the correct Health Plan and/or UHC resources

Requirements

• Must meet one of the following:
• Current and unrestricted Idaho license in one of the below: RNLCSW, LMSW, LSW, LCPC, LPC, LMFT, LAMFT
• LPN/LVN
• 2-year degree (or higher) AND 2+ years of experience in Healthcare or Healthcare related industry
• 1+ years of experience working with people that have Medicaid / Medicare or who have significant social drivers of health (SDoH) needs
• 1+ years of experience with MS Office, including Word, Excel, and Outlook
• Reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 50% of time depending on member and business needs
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Qualifications

• Certified Care Management (CCM) certification (preferred)
• If individual with 2-year degree and 2+ years of experience, preferably as a Healthcare Paraprofessional
• Experience working with an Electronic Health Record (EHR) system for documentation
• Demonstrated experience / additional training or certifications in care in rural settings, homelessness, food insecurity, behavioral health, co-occurring conditions, IDD, Person Centered Care, Motivational Interviewing, Stages of Change, Trauma-Informed Care
• Experience supporting individuals with complex and chronic conditions including those residing in a nursing facility or that meet nursing facility level of care within the community
• Background in Managed Care
• Experience working in team-based care

Skills

• Excellent organizational skills
• Attention to detail
• Ability to multitask

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

Pay

The salary for this role will range from $29 to $52 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Schedule

This is a hybrid-based position up to 50% of time in field when business requires with a home-based office. You will work from home when not in the field.