Field Care Coordinator - Twin Falls, ID

About the role

The Care Coordinator will serve as the primary care manager for dual eligible members, providing support through comprehensive needs assessments, care planning, and collaboration with various healthcare teams and community resources.

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
• Collaborate with the internal care team, providers, and community resources/partners to implement care plans and remove obstacles
• Aid members with obtaining necessary HCBS support and services
• Provide referrals and linkage as appropriate and accepted by the individual being served
• Support proactive discharge planning and manage/coordinate care transition following ER visit, inpatient or Skilled Nursing Facility
• Offer 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 members' 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: 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
• 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
• Lives in Idaho
• Access to reliable transportation and valid US driver's license with the ability to travel within assigned territory to meet with members and providers up to 50% of time depending on member and business need

Qualifications

• Certification as a Care Management Certified Professional (CCM) is 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, and 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, and Background in Managed Care, are preferred

Skills

• Excellent organizational skills
• Ability to multitask with attention to detail

Benefits

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

Pay

The hourly pay for this role will range from $29 - $52 per hour 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.