Field Care Coordinator - Emporia, VA Market

The Field Care Coordinator is responsible for facilitating, promoting, and advocating for enrollees' ongoing self-sufficiency and independence. This position involves assessment and planning for a group of patients, evaluating natural supports, and collaborating with the Interdisciplinary Team to coordinate comprehensive, efficient, cost‑effective patient care. The coordinator will travel into enrollees' homes, nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop care plans. The position is field‑based, covering a travel territory based in Emporia, Lawrenceville, and South Hill, VA. The coordinator actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team, acute or skilled facility staff, and representatives, acting as liaison between the Health Plan, the Commonwealth, and families, and follows professional standards, Commonwealth guidelines, and policy and procedures. 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 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 education and coaching to support member self‑management of care needs and lifestyle changes to promote health. Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission. 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. Required Qualifications Current and unrestricted Licensed Practical Nurse in the state of Virginia or Social Work or Human Services (or related field) and a 4‑year degree. 3+ years of care coordination or behavioral health experience and/or work in a healthcare environment. 1+ years of experience with MS Office, including Word, Excel, and Outlook. Experience working with members who have medical needs, the elderly, individuals with physical disabilities, and/or those who may have communication barriers. Driver's license and access to reliable transportation and the ability to travel within assigned territory to meet with members and providers. Preferred Qualifications CCM certification. Experience working with Medicaid / Medicare population. Experience working in team‑based care. Long‑term care / geriatric experience. Background in Managed Care. Pay for this role ranges from $23.89 to $42.69 per hour based on full‑time employment, with additional benefits including a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution (all benefits subject to eligibility requirements). The company complies with all minimum wage laws applicable. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr UHC