Job Description

Caring. Connecting. Growing Together.

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 equitable. Ready to make a difference?

The Health Home Field Care Coordinator will be the primary case manager for a panel of high-cost, high-risk Medicare-Medicaid enrollees focusing on intensive care coordination services to improve health care outcomes and cost savings. Care Coordinators will integrate care for enrollees across multiple delivery systems working to reduce gaps in services and increase coordination of all service providers including medical, behavioral health, long-term services and supports, and other social services. This is achieved through using the principles of patient activation and engagement to set health action goals and increase self-management skills to achieve optimal physical and cognitive health.

If you are located preferably in Clallam County, WA, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Engage members, family, and caregivers face-to-face to complete a comprehensive health needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs
• Develop and implement person centered Health Action Plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines
• Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
• Provide education, health promotion, and coaching to support member self-management of care needs and lifestyle changes to promote health
• Provide individual and family support for members
• Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission
• Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team
• Research, locate and make referrals to community resources to address member specific care or socioeconomic needs. Follow up to confirm services are received
• Proactively engage the member to manage their care, provide education and coaching to support self-management of needs and health promotion as outlined in care plan

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Must meet one of the following:
• Bachelor's Degree of Social Work, Psychology, Social Services, Human Services, or Behavioral Sciences
• Certificated Medical Assistant with associate degree
• Licensed Practical Nurse
• Licensed Marriage and Family Therapist, Licensed Mental Health Counselor, or Licensed Agency Affiliated Counselor
• Master's Degree of Social Work, Psychology, Social Services, Human Services, or Behavioral Sciences
• Ability to become a state certified Health Home Care Coordinator within six weeks of hire date
• 3+ years of relevant experience, including clinical experience
• 1+ years of experience with MS Office, including Word, Excel, Outlook, and Teams
• Driver's License and access to reliable transportation and the ability to travel up to 25% within Clallam County to meet with members and providers
• Reside in or within commutable driving distance to Port Angeles/Sequim WA (Clallam County)

Preferred Qualifications:

• CCM certification
• 1+ years of community case management experience coordinating care for individuals with complex needs
• Background in Managed Care
• Experience working in team-based care
• Bilingual

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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