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UnitedHealth Groupposted 15 days ago
$23 - $46/Yr
Full-time • Entry Level
Remote • Alamogordo, NM
Insurance Carriers and Related Activities
Resume Match Score

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. The Field Care Coordinator will be the primary care manager for a panel of members with low-to-medium complexity medical/behavioral 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. This position is full - time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8 - hour shift schedules during our normal business hours of 8am to 5pm. It may be necessary, given the business need, to work occasional overtime. This position is a field - based position with a home - based office. You will work from home when not in the field. If you reside in or within commutable driving distance to Las Cruces, New Mexico or within a commutable distance, you will have the flexibility to work remotely* as you take on some tough challenges.

Responsibilities

  • Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs
  • Develop and implement person centered care 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 and coaching to support member self-management of care needs and lifestyle changes to promote health
  • 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
  • Create a positive experience and relationship with the member
  • Practice cultural sensitivity and cultural competence in daily care
  • Learn and listen to member needs and barriers to help promote self advocating
  • Collaborating with clinical team of social aspects that might impact treatment plan
  • Proactively engage the member to manage their own health and healthcare
  • As needed, help the member engage with mental health and substance use treatment
  • Provide member education and health literacy on community resources and benefits to encourage self sufficiency
  • Support member to engage in work or volunteer activities, if desired, and develop stronger social supports through deeper connections with friends, family, and their community
  • Partner with care team (community, providers, internal staff)
  • Knowledge and continued learning of community cultures and values
  • Conduct Comprehensive Needs Assessment (CNA)

Requirements

  • Bachelor's degree OR 2 years of relevant health care experience
  • Must meet one of the following: LPN with 3+ years of clinical experience, 2-year degree or higher with 3+ years of clinical experience, 5+ years of relevant experience, including 3 years of clinical experience, or 4+ years of experience in a clinical environment (including 1+ years of experience as a Care Coordinator)
  • 1+ years of experience with MS Office, including Word, Excel, and Outlook
  • Driver's license and reliable transportation and the ability to travel up to 50% of the time XX, NM assigned territory to meet with members and providers
  • Must have a designated workspace inside the home with access to high - speed internet availability
  • Must currently reside in New Mexico

Nice-to-haves

  • 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
  • Reside in Las Cruces, NM
  • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Benefits

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