Field Care Coordinator - Remote in Caldwell, ID

About the role

UnitedHealth Group is a health care and well-being company dedicated to improving the health outcomes of millions around the world, comprised of UnitedHealthcare and Optum working to build a better health system. As part of the care management team, the Care Coordinator will be the primary care manager for a panel of members with chronic and complex health care needs, providing support to the broader team with clinical and non‑clinical activities to promote a person‑centered approach to care coordination. This role focuses on supporting members’ medical, behavioral, and socioeconomic needs to encourage appropriate service utilization and improved quality of care in a fast‑paced environment that requires multitasking, attention to detail, and excellent organizational skills. Candidates located in Caldwell, ID or surrounding areas will have the flexibility to work remotely while taking on these challenges.

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), including assessment of medical, behavioral, functional, cultural, and social drivers of health (SDoH)
• Develop and implement individualized, person-centered care plans inclusive of goals, opportunities and interventions aligned with a person's readiness to change to support the best health and quality of life outcomes by meeting them where they are in their health journey
• 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)
• Assist members 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

• Current and unrestricted Idaho license in one of the following: LCSW, 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
• Driver's license, access to 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