Care Coordinator, Field-Based - Baton Rouge, LA

In this role, you will work in the field and coordinate care on behalf of patients who are receiving long-term care, along with home and community services. Your experience with hospital and long-term care facilities will be essential in relaying the pertinent information about the patient needs and advocating for the best possible care available. At times, your patience may be challenged. But in the end, your confidence, decisiveness and perseverance will help you positively impact our patient lives, and ensure more positive outcomes for all. Ready for a new path? Learn more, and start doing your life's best work. (sm)

What makes your clinical career greater with United Healthcare? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

Primary Responsibilities:

• Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care


• Utilize both company and community-based resources to establish a safe and effective case management plan for members


• Collaborate with patient, family, and healthcare providers to develop an individualized plan of care


• Identify and initiate referrals for social service programs; including financial, psychosocial, community, and state supportive services


• Manage care plan throughout the continuum of care as a single point of contact


• Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members


• Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare team


• Utilize approved clinical criteria to assess and determine appropriate level of care for members


• Document all member assessments, care plan and referrals provided


• Participate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe transitions of care


• Understand insurance products, benefits, coverage limitations, insurance and governmental regulations as it applies to the health plan


• Accountable to understand role and how it affects utilization management benchmarks and quality outcomes

Required Qualifications:

• Bachelor's degree or equivalent experience in social work/social services


• 1+ year clinical or case management experience


• 1+ year experience in long-term care, home health, hospice, public health or assisted living


• Driver's License and reliable transportation to be able to conduct field visits

Preferred Qualifications:

• Medicare/Medicaid experience


• A background working in the special needs population, up to 20 years old


• A background in behavioral health


• Experience with electronic charting


• Ability to multitask


• Basic level of proficiency in PC-based word processing and database documentation (Word, Excel, Internet, Outlook)

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, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Social work, social services, case management, long-term care, home health, hospice, public health, assisted living, Medicare, Medicaid, behavioral health, electronic charting, Baton Rouge, LA, Louisiana