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Field Care Coordinator - Montgomery County, TN

UnitedHealth Group

Clarksville, TN
Job Code:
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Job Details

Field Care Coordinator - Montgomery County, TN(Job Number:725838)

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)

In this role as a Field Care Coordinator you will work in the field and coordinate care on behalf of CHOICES Medicaid patients who are receiving long - term care (LTC), along with home and community services (HCBS). The CHOICES program offers person - centered care planning, service coordination and support services for members receiving long - term care (LTC) and home and community (HCBS) services. The care coordinator is responsible for facilitating, promoting and advocating for the member’s ongoing self - sufficiency and independence. The care coordinator will conduct face - to - face and / or telephonic assessments to assess the member’s need for support to alleviate functional deficits. This supported self - care in their activities of daily living allows the member to remain independently functioning in the community. This allows for the member to age in place, by improving or maintaining the social, emotional, functional and physical health of the member.


For members who elect residence within a nursing facility, the care coordinator is responsible for educating the member on home and community based alternatives, assessing the member’s potential for and interest in transitioning from nursing facility - to - community. If a member chooses or it is determined that the member is best served in the facility, the care coordinator is responsible for ongoing assessment and care planning to ensure quality of life services to meet any identified gaps in service.


Additionally, the care coordinator is responsible for sustaining the natural supports of the member. This includes but is not limited to assessing support caregivers, representative or family members to ensure the ongoing mental and physical health of those natural supports. 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.

What makes your clinical career greater with UHC?  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.  JOIN US!  APPLY NOW!


This is a field-based role with a home - based (telecommute, work at home) office.  You will be spending approximately 75% of the time in the field within an assigned coverage area.  Candidates must be willing to travel within the Montgomery County area.


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

Job Clinical & Medical Management
Primary Location US-TN-Clarksville
Other Location 
Organization C&S Tennessee ABD LTC
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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