Field Care Coordinator - RN or Social Worker - Iowa Medicaid

Council Bluffs, Case Management! In your field, learning never stops. And neither do you. You are continually pushing yourself to reach higher and go further. To do everything you can to ensure a positive outcome for our patients. Staying on top of your game and persevering in the face of challenge will be a big part of your success. And at every turn, you'll have the support of an elite and dynamic team. Join us in this role and you will use your diverse knowledge and experience to make health care work better for our patients, while doing your life's best work.(sm) 
  
As a Care Coordinator working with our Iowa Medicaid members, you will be providing a vital service to our members through care coordination activities including conducting assessments, care planning, telephonic and in-home visits, coordination of benefits and services, and linking members to community-based resources. 
 
This is a field based/telecommuting role that requires approximately 25 - 75% travel within an assigned area in the community and a home office set up.
  
Primary Responsibilities: 

Complete initial and routine assessments for the purpose of identifying member care needs
Initiate care planning and implementation of a comprehensive care plan which is member-driven and addresses medical and/or behavioral health needs
Engage members routinely telephonically and in-person via home/facility visits to coordinate services, community resources, and provide health education
Provide education and information on available benefits and services and how to access appropriate care
Identify early risk factors and targeted condition management interventions as necessary
Create, review and revise Care Plans with a focus on health education and improving health outcomes
Advocate for member needs and services and provide assistance to members in navigating the healthcare system
Focus on reducing hospital admissions through coordinated care and effective discharge planning with other team members
Collaborate with the member's PCP and other care team members to deliver and coordinate quality care and services
Ensure completion of required touch points and care coordination activities and document all activities within the member clinical record

Required Qualifications:  


One of the following education, licensure and experience combinations:


Bachelor's degree or higher in social work with a current, unrestricted independent social work license in the state of Iowa, plus a minimum 1 year of clinical OR case management experience in a medical, long-term care or behavioral healthcare setting

Current, unrestricted RN licensure in the state of Iowa, plus a minimum of 1 year of clinical OR case management experience in a medical, long-term care or behavioral healthcare setting 


Basic level of proficiency in Microsoft Office suite applications (Word, Excel, Outlook/Email, Internet), including the ability to type and talk at the same time and toggle between multiple applications 

Willingness to travel within a designated geographical region of Iowa for home/site visits, as well as access to reliable transportation and proof of automobile insurance for vehicle being used 
Preferred Qualifications: 


Medicare and/or Medicaid experience 

A background working with complex medical, long-term care and/or behavioral health populations 

Experience with electronic documentation methods and field-based technology use 

Bilingual in English/Spanish 
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: MSW, LADC, LISW, LCSW, LPC, LPCC or LMFT, RN, Registered Nurse, Licensed, Social Worker, Care Coordinator, Case Management, Medicaid, Telecommuter, telecommute, Social Worker Independent Level, Iowa, Omaha, Council Bluffs, Sioux City, Iowa2015, UHG, UnitedHealth Group. UHC, Unitedhealthcare, Community and State, Public Sector