Field Care Coordinator/HIDE SNP - Barry County, MI and surrounding 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.
The Field Care Coordinator- HIDE SNP is an essential element of an Integrated Care Model and is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that the person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community.
This position is Field Based with a Home-Based office. The expected travel time for member home visits is typically 75% within a 50-mile radius and/or 50-minute drive from your home pending business needs.
If you reside in or near Barry County, MI or surrounding area, you will have the flexibility to telecommute as you take on some tough challenges.
Primary Responsibilities Develop and implement care plan interventions throughout the continuum of care as a single point of contact
Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
Advocate for persons and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care
Identify problems/barriers to care and provide appropriate care management interventions
Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
Provide resource support to members for local resources for services based on service assessment and plans, as appropriate
Manage the person-centered service/support plan throughout the continuum of care
Conduct home visits in coordination with the person and care team
Conduct in-person visits, which may include nursing homes, assisted living, hospital or home
Gather, document, and maintain all member information and care management activities to ensure compliance with current state and federal guidelines
What We Offer Competitive Base Pay
A Full And Comprehensive Benefit Program
Performance Rewards
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
Required Qualifications Must possess one of the following: Current, unrestricted independent licensure as a Registered Nurse (RN) in state of Michigan, Master's degree and current, unrestricted independent licensure as a Social Worker, or Bachelor's degree and current, unrestricted independent licensure as a Social Worker
2+ years of experience working within the community health setting in a healthcare role
1+ years of experience with local behavioral health providers and community support organizations addressing SDoH
1+ years of experience working with persons with long-term care needs and/or home and community-based services
1+ years of experience working in electronic documentation systems and with MS Office
Access to a designated quiet workspace in your home with the ability to secure Protected Health Information (PHI)
Ability to travel within assigned territory to meet with members and providers up to 75% of the time depending on member and business needs
Ability to travel to Southfield, MI office for quarterly team meetings
Must reside within the state of Michigan
Access to reliable transportation and valid US driver's license
Preferred Qualifications RN or LMSW, LCSW, LLMSW
1+ years of medical case management experience
Demonstrated experience/additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
Experience in serving individuals with co-occurring disorders
Experience with MI Health Link (MMP)
Experience working in Managed Care
Working knowledge of NCQA documentation standard
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.
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, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.