Field Care Coordinator - Arlington, VA and surrounding areas

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The Field Care Coordinator is responsible for facilitating, promoting, and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients. Additionally, the care coordinator is responsible for assessing the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports. The Field Care Coordinator collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Field Care Coordinator will be traveling into enrollees' homes, nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care. The Field Care Coordinator actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team and the acute or skilled facility staff, and the enrollees and / or the enrollees' representatives. Field Care Coordinators act as liaison between the Health Plan, the Commonwealth, enrollees, and their families.  Field Care Coordinators follow established professional standards of care, Commonwealth guidelines and policy and procedures.

This is a field-based position with a home-based office. You must reside within a commutable distance of the Northern VA Markets for consideration as this position will travel throughout the entire Northern VA area.

If you are located in commutable distance of the Arlington, VA area, 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 members' needs and choices are fully represented and supported by the health care team

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Bachelor's degree in a health or human services field
• 1+ years of experience working directly with individuals who receive LTSS
• 1+ years of experience with MS Office, including Word, Excel, and Outlook  
• 1+ years of experience working with members who have medical needs, the elderly, individuals with physical disabilities or those who may have communication barriers  
• Ability to travel 50% within Northern VA
• Access to reliable transportation and valid US driver's license with the ability to travel within assigned territory to meet with members and providers

Preferred Qualifications:

• CCM, ACM, or QMHP certification
• Experience working with Medicaid / Medicare population 
• Experience working in team-based care 
• Long term care / geriatric experience 
• Background in Managed Care
• Licensed Mental health Professional (LMHP), Registered Nurse/Licensed Practical Nurse) (RN/LPN), Qualified Mental Health Professional (QMHP), Licensed Master's Social Worker (LMS