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RN or Social Worker Care Coordinator - Rio Arriba, NM area

UnitedHealth Group

Espanola, NM
Job Code:
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Job Details

RN or Social Worker Care Coordinator - Rio Arriba, NM area(Job Number:731364)

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 surrounding areas.


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

Job Clinical & Medical Management
Primary Location US-NM-Espanola
Other Location US-NM-Rio Arriba, US-NM-Los Alamos, US-NM-Santa Fe
Organization C&S New Mexico ABD LTC
Schedule Full-time
Number of Openings 1
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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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