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UnitedHealth Group HSS Clinical Care Coordinator - Cumberland or Hamilton Counties, TN in Crossville, Tennessee

At UnitedHealthcare, 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.

As part of a support coordination team who will manage members enrolled in the Employment and Community First CHOICES (ECF CHOICES) program, the ECF CHOICES Support Coordinator will be the primary support coordinator for a panel of members with intellectual or developmental disabilities. Support coordination activities will focus on supporting member’s medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care.

If you are located in or within commutable driving distance to Chattanooga or Crossville, TN, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

  • 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

  • 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.)

What are the reasons to consider working for UnitedHealth Group? Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays

  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account

  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage

  • 401(k) Savings Plan, Employee Stock Purchase Plan

  • Education Reimbursement

  • Employee Discounts

  • Employee Assistance Program

  • Employee Referral Bonus Program

  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

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:

  • 4-year or higher degree in a health, human service, or behavioral health related field (e.g., social work, nursing, psychology, counseling, etc.)

  • Current, unrestricted independent licensure as a Social Worker

  • LPN with 5+ years of direct experience

  • 3+ years of direct experience with DD or IDD Waivers

  • 2+ years directly serving individuals with physical, behavioral, intellectual or developmental disabilities

  • 1+ years of experience with local home and community based providers, behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing / rapid re-housing assistance, etc.)

  • Proficiency with MS Office, including Word, Excel, and Outlook

  • Recent working experience with Adobe and MS Teams

  • Reliable transportation and the ability to travel up to 75% within assigned territory of East TN to meet with members and providers

Preferred Qualifications:

  • 1+ years of community case management experience coordinating care for individuals with complex needs

  • Demonstrated experience / additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care

  • Background in Managed Care

  • Experience working in team-based care

  • Experience in serving individuals with co-occurring disorders (both mental health and substance use disorders)

Physical Requirements:

  • Ability to transition from office to field locations multiple times per day

  • Ability to navigate multiple locations/terrains to visit employees, members and/or providers

  • Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.)

  • Ability to remain stationary for long periods of time to complete computer or tablet work duties

*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.

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