Overview 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. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
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 Branch 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 (e.g., Children with Special Health Care Services, employment, housing, independent living, foster care) 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
Benefits and Compensation Pay is based on several factors including local labor markets, education, work experience, and certifications. In addition to salary, benefits may include a comprehensive benefits package, incentive programs, equity stock purchase and 401k contribution (eligibility varies). The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Benefits may include:
Paid Time Off accrued from the first pay period plus 8 paid holidays
Medical Plan options with Health Savings Account or Health Spending Account
Dental, Vision, Life and AD&D Insurance, Short-term and Long-Term Disability
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary benefits (pet insurance, legal insurance, LTC Insurance, etc.)
Additional information can be downloaded at: http://uhg.hr/uhgbenefits
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 (e.g., LMSW, LCSW, LLMSW)
Bachelor\'s degree and current, unrestricted independent licensure as a Social Worker (e.g., LLBSW, LBSW)
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 (e.g., food banks, non-emergent transportation, utility assistance, housing/rapid re-housing assistance, etc.)
1+ years of experience working with persons with long-term care needs and/or home and community-based services
1+ year experience working in electronic documentation systems and with MS Office (Outlook, Excel, Word)
Access to reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 75% of the time depending on member and business needs
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure PHI
Ability to travel to Southfield, MI office for quarterly team meetings
Must reside within the state of Michigan
Preferred Qualifications RN or LMSW, LLMSW, LCSW
1+ years of medical case management experience
Demonstrated experience or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
Experience in serving individuals with co-occurring disorders (mental health and substance use)
Experience with MI Health Link (MMP)
Experience working in Managed Care
Working knowledge of NCQA documentation standards
*Telecommuters must adhere to UnitedHealth Group\'s Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution. The hourly pay for this role ranges from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
UnitedHealth Group is an Equal Employment Opportunity employer. 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.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.