Field Care Coordinator/HIDE SNP - Van Buren County, MI and surrounding

UnitedHealth Group • Paw Paw, MI

103d • $28 - $50

About The Position

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 Van Buren County, MI or surrounding area, you will have the flexibility to telecommute as you take on some tough challenges.

Requirements

• 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 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+ 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 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

Nice To Haves

• 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

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
• Identifies 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, 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
• Gathers, documents, and maintains all member information and care management activities to ensure compliance with current state and federal guidelines

Benefits

• 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 (pet insurance, legal insurance, LTC Insurance, etc.)

What This Job Offers

• Job Type: Full-time
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees