Complex Care Coordinator; licensed

Salary Range: $80,470.00 To $94,550.00 Annually

Remote

Full-Time, Exempt

Schedule:

Monday–Friday, 8:00 a.m.–5:00 p.m. Salary Range : $ $80,470- $92,000

Care Coordinator Licensed

At Umpqua Health, we’re more than a healthcare organization—we’re a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and well-being of individuals and families throughout Douglas County, Oregon. We provide integrated, whole-person care through primary care, specialty care, behavioral health services, and care coordination. Our collaborative approach ensures members receive high-quality, personalized care while supporting a stronger, healthier community.

The Care Coordinator provides comprehensive support for care management and care coordination activities for members enrolled in Medicaid and Medicare programs, including those receiving long-term services and support (LTSS) through waiver programs. This role manages a caseload of members, conducts in-home assessments, and collaborates with a multidisciplinary team to ensure integrated, high-quality care across the continuum. The position requires strong organizational skills, excellent communication, and the ability to work in a fast-paced environment while maintaining accuracy and compliance.

• Performs comprehensive member assessments, including face-to-face and in-home visits as require
• Develop and implement individualized care plans in collaboration with members, caregivers, physicians, and support networks.
• Monitor care plans for effectiveness, document interventions, and adjustment as needed.
• Promote integration of services, including behavioral health, LTSS, and community resources.
• Evaluate benefits and advise on funding sources.
• Facilitate interdisciplinary care team (ICT) meetings and collaborate informally with team members.
• Use motivational interviewing techniques to educate and support members.
• Identify barriers to care and provide assistance to address psychosocial, financial, and medical concerns
• Develop prevention plans for critical incidents to ensure member health and safety.
• Maintain accurate documentation in electronic systems and adhere to compliance standards.
• Travel locally (25–40%) for member visits; mileage reimbursement provided.
• Other duties as assigned.

• Active, unrestricted Oregon Registered Nurse (BSN or MSN) license with qualifications that meet the eligibility requirements to sit for the Certified Case Manager (CCM) examination.
• Minimum of two (2) years of healthcare experience, including:
  • At least one (1) year of experience supporting individuals with disabilities or chronic conditions within Long-Term Services and Supports (LTSS).
  • At least one (1) year of experience in care management or a medical and/or behavioral health setting.
• Valid driver’s license, reliable transportation, and current automobile insurance.
• Proficiency in Microsoft Office Suite and ability to navigate electronic health records (EHR) and other care management systems.
• Strong knowledge of Oregon community resources and experience working with diverse populations.
• Strong time management, multitasking, and problem-solving skills.
• Certified Case Manager (CCM) certification required within eighteen (18) months of hire.

• Experience facilitating telephonic, video, and in-home assessments, as well as leading interdisciplinary care team (ICT) meetings and supporting comprehensive care planning.
• Knowledge of Medicaid and Medicare programs, including waiver services.
• Familiarity with regulatory and compliance standards within healthcare operations.
• Experience providing culturally competent care to diverse and…