UnitedHealth Group - Indianapolis, IN

posted 16 days ago

Remote - Indianapolis, IN
Insurance Carriers and Related Activities

About the position

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? Join us to start Caring. Connecting. Growing together. As part of a care management team who will manage complex members, the Care Coordinator RN or Social Worker will be the primary care manager for a panel of older adult members with a variety of medical and/or behavioral health needs. Care coordination activities will focus on supporting member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. If you are located within the state of Indiana, you will have the flexibility to work remotely* as you take on some tough challenges.

Responsibilities

  • Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs
  • Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs
  • 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 the member where they are
  • Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
  • Provide referral and linkage as appropriate and accepted by member (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.)

Requirements

  • Must possess one of the following: Master's degree in social work; possess a bachelor's degree in social work, psychology, special education, or counseling, and have at least a minimum of one year of experience in providing case management services to individuals who are older adults and/or individuals with physical or developmental disabilities and/or individuals determined to have a serious mental illness (SMI); current, unrestricted independent licensure as a Registered Nurse in Indiana; licensed practical nurse (LPN) with a minimum of three years of clinical experience with older adults
  • 1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing / rapid re-housing assistance, etc.)
  • 1+ years of experience with MS Office, including Word, Excel, and Outlook
  • 1+ years of experience in long term support services or working with older adults
  • Resident of Indiana
  • Reliable transportation and the ability to travel within assigned territory to meet with members and providers

Nice-to-haves

  • 2+ years of experience in long term support services or working with older adults
  • Experience / additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
  • Experience working in team-based care
  • Experience in serving individuals with co-occurring disorders (both mental health and substance use disorders)
  • Background in Managed Care
  • Bilingual in Spanish or other language specific to market populations
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