Requisition Number: 2188721
Job Category: Medical & Clinical Operations
Primary Location: Grand Junction, CO
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.
Doing the right thing is a way of life at Rocky Mountain Health Plans (RMHP). As part of the UnitedHealthcare family of plans, RMHP provides innovative health insurance coverage and personalized attention to individuals of all ages and business of all sizes throughout Western and rural Colorado. RMHP is continually striving to improve the health and wellness of our Members and partners in the state where we live, work, and play – because we’re Colorado, too.
As part of a care management team who will manage a caseload of complex members, the Clinical Care Coordinator will be the primary care manager for elderly, disabled, and/or complex members with medical/ 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.
This is a remote position with field responsibilities approximately 25% of the time.
If you are located in Western Colorado or Larimer County, you will have the flexibility to work remotely* as you take on some tough challenges.
- Serve as primary care manager for elderly, disabled, and/or complex members who live in individual housing, community-based housing (ALF or CLS homes) or nursing facilities
- Engage members and/or their families 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.)
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.
- Meet one of the following:
- Current, unrestricted independent licensure as a Social Worker
- 4-year or higher degree in a behavioral health related field (e.g., psychology, counseling, etc.) plus 3+ years of direct experience
- LPN with 5+ years of direct experience
- 2+ years directly serving individuals with complex medical and/or behavioral health conditions (mental health / substance use disorders)
- 1+ years of experience with local health providers and/or community support organizations addressing the 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
- Reliable transportation and the ability to travel within assigned territory to meet with members and providers
- Demonstrated 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
- Ability to transition from office to field locations multiple times per day
- Ability to navigate multiple locations/terrains to visit employees, members and/or providers
- Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.)
- Ability to remain stationary for long periods of time to complete computer or tablet work duties
Colorado Residents Only: The hourly range for Colorado residents is $27.07 to $53.08 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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