Care Coordinator

🔥 5 minutes ago

🌲 Oregon – Remote

🌲 Oregon – Remote

💵 $80.5k - $92k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

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Umpqua Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

Healthcare Insurance

Umpqua Health is a regional health plan and care organization serving Douglas County, Oregon. It operates a health plan and member services (including enrollment, benefits, nurse hotline, and care coordination) and runs a Rural Health Clinic (Newton Creek Clinic) offering primary care, behavioral health, urgent care and pharmacy support. The organization also manages provider contracting/credentialing, quality and compliance programs, community grants and health-related social needs initiatives.

📋 Description

• Provides comprehensive support for care management and care coordination activities for members enrolled in Medicaid and Medicare programs • Manages a caseload of members, conducts in-home assessments, and collaborates with a multidisciplinary team to ensure integrated, high-quality care across the continuum • Performs comprehensive member assessments, including face-to-face and in-home visits as required • Develops and implements individualized care plans in collaboration with members, caregivers, physicians, and support networks • Monitors care plans for effectiveness, documents interventions, and adjusts as needed • Promotes integration of services, including behavioral health, LTSS, and community resources • Evaluates benefits and advises on funding sources • Facilitates interdisciplinary care team (ICT) meetings and collaborates informally with team members • Uses motivational interviewing techniques to educate and support members • Identifies barriers to care and provides assistance to address psychosocial, financial, and medical concerns • Develops prevention plans for critical incidents to ensure member health and safety • Maintains accurate documentation in electronic systems and adheres to compliance standards • Travels locally (25–40%) for member visits; mileage reimbursement provided.

🎯 Requirements

• Active, unrestricted Oregon licensure as a Registered Nurse (RN, BSN, or MSN) or Licensed Clinical Social Worker (LCSW) • 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.

🏖️ Benefits

• Generous benefits package including vacation PTO, sick leave, federal holidays, and birthday leave • Medical, dental, and vision insurance • 401(k) with company match (fully vested immediately) • Company-sponsored life insurance and additional benefits • Fitness reimbursement program • Tuition reimbursement and more