Telephonic Care Coordinator - North Central area, VA

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Telephonic Care Coordinator - North Central area, VA - 718672

Position Description

The Telephonic 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 (Community Well / Emerging High Risk Population).   Care Coordinator will manage the care of members in their homes or other community settings by completing telephonic health assessments and coordinating patient care, focusing on disease management and keeping members healthy and independent.  The care manager will provide clinical and medical management services, including care management, health assessments, interventions, and discharge planning.  This candidate may identify, coordinate or provide appropriate levels of care under the direct supervision of an RN or MD.  Work is generally self - directed and not prescribed; so it will be important to function in a less structured work environment.
** This is a telecommuting role with the requirement of residing in the region of Central, VA. We have needs in the following counties:  Buckingham, Prince Edward, Amelia, Henrico, Chesterfield, Powhatan, Charles City, Prince George, Richmond, Dinwiddie, Goochland, Hanover, New Kent and Cumberland.**
Care Coordinator Responsibilities:
  • Engaging members/families telephonically to coordinate services, community resources, and treatment needs.  
  • Delivering a holistic approach to coordinated care based on the member’s needs using a person centered philosophy
  • Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file.
  • Creating, reviewing and revising care plans and focusing on a holistic approach 
  • Functioning as an advocate for member
  • Collaborating with the member's PCP to deliver and coordinate necessary services.
  • Building relationships with members and their families; assisting them with coordination of health choices.
  • Ensuring cases are documented in a timely manner.
  • Coordination with other state agencies, community resources and providers
  • Act as the primary point of contact for Members and the Interdisciplinary Care Team (ICT)


To be considered for this position, applicants need to meet the qualifications listed in this posting.
Required Qualifications:
  • Bachelor’s Degree in Social Work, Public Health or other related field
  • 1+ year experience directly working with individuals with complex medical or behavioral needs
  • 2+ years recent experience in case management, home care, long term care and/or experience in acute or rehab care setting 
  • Strong computer proficiency (Microsoft Word, Outlook, and Internet)
Preferred Qualifications:
  • Experience with Medicare and / or Medicaid
  • Experience with complex populations
  • Telephonic / call center experience
  • Managed care / case management experience
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: Social Worker, LMSW, LCSW, Case Manager, VAMLTSS, Medicaid Waver, Behavioral Health, Public Health, Community Health, Long Term Care, Rehab, Home Care, Care Coordination, Home Health, Complex Case Management, Managed Care, Bilingual, Buckingham, Farmville, Amelia Courthouse, Chesterfield Court House, Powhatan, Charles City, Prince George, Dinwiddie, Goochland, Cumberland, Ashland, New Kent, Richmond, VA, Virginia, UHG, UnitedHealth Group, UHC, UnitedHealthcare, Community and State, Public Sector
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Job Details
Contest Number: 718672
Job Title: Telephonic Care Coordinator - North Central area, VA
Job Family: Medical and Clinical Operations
Business Segment: Community and State
Job Location Information:
Region: North America
Country: United States
City: Ashland
State/Province: Virginia
Other States where Job(s) is Located: VA,VA,VA,VA,
Other Cities where job(s) is Located: New Kent-Virginia,Dinwiddie,Richmond,Powhatan,
Additional Job Detail Information:
Employee Status: Regular
Schedule: Full-time
Job Level: Individual Contributor
Shift: Day Job
Travel: No
Telecommuter Position: Yes
Overtime Status: Exempt