Job description

UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a team that shares your passion for helping others. 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 are located in Albuquerque, Santa Fe, or Belin, New Mexico or withing a commutable distance, you will have the flexibility to work remotely* as you take on some tough challenges. Primary 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) 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 on of the following: • Bachelor's degree OR 2+ years of relevant health care experience • Two-year degree or higher with 3+ years of clinical experience • Current, unrestricted independent licensure as a Registered Nurse OR a Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Licensed Professional Clinical Mental Health Counselor, or Licensed Mental Health Counselor (LMHC) with 3 years of clinical experience • 5+ years of relevant experience, including 3+ years of clinical experience • 4+ years of experience in a clinical environment (including 1+ years of experience as a Care Coordinator) • LPN with 3+ years of clinical experience • 1+ years of experience with MS Office, including Word, Excel, and Outlook • Driver's license and access to reliable transportation and the ability to travel up to 50% of the time within assigned territory to meet with members and providers • Must have a designated workspace inside the home with access to high - speed internet availability • Reside in or within commutable driving distance to Roswell, NM Preferred Qualifications: • CCM certification • 1+ years of community case management experience coordinating care for individuals with complex needs • Experience working in team-based care • Background in Managed Care *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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 $29.00 to $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 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.

Requirements

Must-haves

If you are located in Albuquerque, Santa Fe, or Belin, New Mexico or withing a commutable distance, you will have the flexibility to work remotely* as you take on some tough challenges.
Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs
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
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)
Two-year degree or higher with 3+ years of clinical experience
5+ years of relevant experience, including 3+ years of clinical experience
4+ years of experience in a clinical environment (including 1+ years of experience as a Care Coordinator)
LPN with 3+ years of clinical experience
1+ years of experience with MS Office, including Word, Excel, and Outlook

Nice-to-haves

CCM certification
Experience working in team-based care
Background in Managed Care

Application prep

Use the role’s language and application details while tailoring your materials.

Platform: radancy
Effort: medium

Benefits

Benefits detected in the listing.

401k

Wellness