Field Care Coordinator (HIDE SNP) - Calhoun County, MI and Surrounding
UnitedHealthcare
Marshall, TX
21 hours ago
$28.27 - $50.48
Job Description
Join UnitedHealthcare as a Field Care Coordinator, where you will play a vital role in delivering quality healthcare services to members. This position emphasizes person-centered care and community integration, making a significant impact on the lives of individuals in need.
Key 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
Provides resource support to members for local resources for services based on service assessment and plans
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
Gathers, documents, and maintains all member information and care management activities to ensure compliance with current state and federal guidelines
Required Qualifications
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 health care 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 (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
Access to a designated quiet workspace in your home with the ability to secure Protected Health Information (PHI)
Ability to travel to Southfield, MI office for quarterly team meetings
Must reside within the state of Michigan
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 (both mental health and substance use disorders)
Experience with MI Health Link (MMP)
Experience working in Managed Care
Working knowledge of NCQA documentation standards
Benefits & Perks
Paid Time Off which you start to accrue with your first pay period plus 8 Paid HolidaysMedical Plan options along with participation in a Health Spending Account or a Health Saving accountDental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage401(k) Savings Plan, Employee Stock Purchase PlanEducation ReimbursementEmployee DiscountsEmployee Assistance ProgramEmployee Referral Bonus ProgramVoluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)