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 PURPOSEThe 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.