Care Coordinator

CARE COORDINATOR

REMOTE, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470

EMPLOYMENT TYPE:

Full-Time, Exempt

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 required
• Develop and implement individualized care plans in collaboration with members, caregivers, physicians, and support networks.
• Monitor care plans for effectiveness, document interventions, and adjust 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.

• Working with a variety of personalities, maintaining a consistent and fair communication style.
• Satisfying the needs of a fast‑paced and challenging company.

• Active, unrestricted Oregon licensure as a Registered Nurse (RN, BSN, or MSN) or Licensed Clinical Social Worker (LCSW), or a bachelor’s or master's degree in health or human services field that meets 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 underserved populations.
• Strong analytical skills with experience in accurate documentation within electronic systems.
• Excellent interpersonal, written, and verbal communication skills.
• Bilingual or additional language skills are considered a…