Job Location : all cities,AK, USA
At UnitedHealthcare, we are 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 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 King County, WA, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary ResponsibilitiesEngage 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
Required QualificationsMust meet one of the following:
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
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). 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.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves 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.