Care Coordinator - Seattle, WA

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

Responsibilities:

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  Engage members either face to face or over the phone to have a discussion about their health


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  Review available member service records and relevant documentation (e.g., utilization history, functional level, stratification information, current plan of care)


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  Conduct comprehensive member assessment that includes bio-psychosocial, functional, and behavioral health needs


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  Utilize interviewing techniques and active listening to collect and retain member information and incorporating responses as they are presented to complete assessment


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  Identify when supplemental assessments are needed and conduct supplemental assessments


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  Identify member service needs related to health concerns


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  Identify urgent member situations and escalate to next level when necessary


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  Engage member to participate in the assessment process and collaboratively develop plan of care based on their individual needs, preferences, and objectives


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  Work with members to develop healthcare goals and identify potential barriers to achieving healthcare goals


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  Identify member support systems available and incorporate into plan of care


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  Review plan benefits and identify appropriate programs and services based on heath needs and benefits


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  Integrate health care and service needs into a plan or recommendation for member care and service


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  Collaborate with member to create solutions to overcome barriers to achieving healthcare goals


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  Identify relevant community resources available based on member needs


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  Refer members to appropriate programs and services


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  Facilitate member choice of preferred provider


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  Enroll members into appropriate programs and services


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  Utilize motivational interviewing techniques to help member identify and understand their intrinsic goals and motivate members to
  

  engage in positive behavior change



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  Present complex case information to interdisciplinary care team and obtain input into member plans as necessary

Requirements:

• High School Diploma or higher level education


• A minimum of 2 years of hands-on care coordination with Medicaid recipients


• Demonstrated proficiency using a PC in a Windows environment, including MS Word and Excel

Desired Assets:

• RN, LPN or Social Worker license


• Call Center Experience


• Experience using case management or claims systems

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.SM

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Keywords: Medicaid, MSW, LCSW, Pharmacy, RN, LPN, Seattle, WA, Care Coordination