RN or Social Worker Care Coordinator - Bernalillo, Torrance, or Valencia County, NM

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 NM Centennial Care 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 80% travel throughout the local area in NM.  We are hiring 2 positions.  1 position will cover Valencia County and the other will cover Bernalillo, Torrance, and Valencia County*
 
 
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
Build and maintain relationships with members and their representatives to empower personal responsibility and decision making on healthcare matters
Ensure completion of required touch points and care coordination activities and document all activities within the member clinical record
Participate in interdisciplinary case reviews or co-managed cases to ensure an effective and comprehensive approach to engage members
Promote condition management and principles of recovery and resiliency
Attend routine team meetings and offer creative solutions and innovative approaches to further enhance the clinical model 

Required Qualifications:         



Bachelor's degree or higher in Social Work or a healthcare related field with a 1+ year of clinical or case management experience in a medical, long-term care or behavioral healthcare setting       

OR Associates degree or higher in Nursing with current, unrestricted RN licensure in the state of New Mexico and 1+ year of clinical or case management experience in a medical, long-term care or behavioral healthcare setting          

OR High School Diploma / GED or higher level of education with 2+ years case management experience within a medical, long-term care or behavioral healthcare setting

Basic level of proficiency using a PC in a Windows environment, including Microsoft Word

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



Medicare / 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: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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: RN, Registered Nurse, Case Manager, CCM, Social Worker, Care Coordinator, Service Coordinator, care management, bilingual, Medicare, Medicaid, MSW, LMSW, LCSW, LPC, LPN, LVN, home health, hospice, assisted living, public health, long term care, case management, case manager, care coordinator, geriatric, special needs, Bernalillo, Torrance, Valencia, Albuquerque, Estancia, Los Lunas, NM, New Mexico
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