Clinical Care Coordinator – Field in Western Colorado

At United Healthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

Doing the right thing is a way of life at Rocky Mountain Health Plans (RMHP). As part of the United Healthcare family of plans, RMHP provides innovative health insurance coverage and personalized attention to individuals of all ages and business of all sizes throughout Western and rural Colorado. RMHP is continually striving to improve the health and wellness of our Members and partners in the state where we live, work, and play – because we’re Colorado, too.

As part of a care management team who will manage a caseload of complex members, the Clinical Care Coordinator will be the primary care manager for members with complex needs. 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.

This is a home-based position in Western Colorado with field responsibilities approximately 50%-75% of the time.

If you reside in or near Western Colorado and surrounding areas
, you will have the flexibility to telecommute
* as you take on some tough challenges.

Primary Responsibilities:

• Engage members and/or their families 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 individualized, person-centered care plans inclusive of goals, opportunities and interventions aligned with a person’s readiness to change to support the best health and quality of life outcomes by meeting the member where they are
• 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.)
• Work with community partners and stakeholders to provide comprehensive support for members with complex needs

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.

Required Qualifications:

• Must meet one of the following:
• Current, unrestricted independent licensure as a Social Worker
• 4-Years or Higher degree in a behavioral health related field (e.g., psychology, counseling, etc.) plus 3+ years of direct experience
• LPN with 5+ years of direct experience
• 2+ years of experience working within the community health setting or in a health care role
• 1+ years of experience with local health providers and/or community support organizations addressing the 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
• Resident in the state of Colorado
• Access to reliable transportation & valid US driver’s license

Preferred Qualifications:

• 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)
• Bilingual in Spanish or other language specific to market populations
• Background in Managed Care

* All Telecommuters will be required to adhere to United Health Group’s Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we…