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As part of a care management team who will manage complex members, the MN Seniors & SNBC Care Coordinator will be the primary care manager for a panel of members with complex health needs that are enrolled in MSHO/MSC+ or SNBC products and are eligible for benefits through an Elderly Waiver. This position will support home and virtual visits with their members and meet all state requirements for care coordination. Care coordination activities will focus on supporting member’s medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. There is a solid focus on addressing racial disparities, delivering person-centered care, collaboration with the county and community organizations and creating innovation and value within our programs.
If you are located in St Louis County or Scott, MN, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs
Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs
Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines
Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
Provide referral and linkage as appropriate and accepted by member (may include internal consult opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.)
As a Care Coordinator, you will play a critical role in supporting this new health plan foster a person-centered approach to care that prioritizes the commitments we've made to addressing health inequities in, and in collaboration with, historically oppressed and underserved communities
Advocate for members and families as needed to ensure the member’s needs and choices are fully represented and supported by the health care team
Enter assessment information into internal and external systems within regulated timelines
Assess members for long term support services (such as PCA, home health aide, skilled nursing visits and other home and community-based services)
In this role you will have the opportunity to work at home with field-based requirements. You will primarily be working with members in St. Louis County. You must live in St Louis County as you will be required to complete face-to-face assessments, as needed
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Years of post-high school education can be substituted/is equivalent to years of experience
Required Qualifications:
3+ years of direct clinical experience in a healthcare setting
2+ years of directly serving individuals with mental health or substance use disorders
1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing / rapid re-housing assistance, etc.)
1+ years of experience with MS Office, including Word, Excel, and Outlook
Reside in St. Louis County
Reliable transportation and the ability to travel within assigned territory to meet with members and providers
Preferred Qualifications:
Certified Assessor
Demonstrated experience / additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
Experience working in team-based care
Experience in serving individuals with co-occurring disorders (both mental health and substance use disorders)
Background in Managed Care
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
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.