Care Coordinator Licensed

CARE COORDINATOR

REMOTE

EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health

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.

POSITION PURPOSE
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.

ESSENTIAL JOB RESPONSIBILITIES
- Performs comprehensive member assessments, including face-to-face and in-home visits as require

- Develop and implement individualized care plans in collaboration with members, caregivers, physicians, and support networks.

- Monitor care plans for effectiveness, document interventions, and adjustment 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.

CHALLENGES
- Working with a variety of personalities, maintaining a consistent and fair communication style.

- Satisfying the needs of a fast-paced and challenging company.

MINIMUM QUALIFICATIONS

- Active, unrestricted Oregon Registered Nurse (BSN or MSN) license with qualifications that meet the 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.

PREFERRED QUALIFICATIONS

- 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 documentatio