Field Care Coordinator (HIDE SNP) - Berrien County, MI and Surrounding
About The Position
The Field Care Coordinator (HIDE SNP) is an essential part of an integrated care model. The role establishes person-centered, goal-oriented, culturally relevant steps to ensure people receiving long-term services and supports (LTSS) receive supportive, effective, efficient, timely, and cost-effective services. Care coordination includes case management, disease management, discharge and transition planning, addressing social determinants of health, and supporting integration into the community. This is a field-based position with a home-based office. Member home visits typically require travel within a 50-mile radius or a 50-minute drive from the employee’s home, with expected travel of up to 75% depending on business needs. The role also requires travel to the Southfield, Michigan office for quarterly team meetings. Candidates must reside in Michigan and in or near Berrien County or surrounding areas. Telecommuters must follow UnitedHealth Group’s Telecommuter Policy and have a designated quiet home workspace where protected health information can be secured.
Requirements
- Current, unrestricted independent Michigan licensure as a Registered Nurse; or a master’s degree and current, unrestricted independent social work licensure (e.g., LMSW, LCSW, LLMSW); or a bachelor’s degree and current, unrestricted independent social work licensure (e.g., LLBSW, LBSW).
- At least 2 years of experience in a community health setting in a health care role.
- At least 1 year of experience with local behavioral health providers and community support organizations addressing social determinants of health, such as food banks, non-emergency transportation, utility assistance, and housing assistance.
- At least 1 year of experience working with people with long-term care needs and/or home- and community-based services.
- At least 1 year of experience working with electronic documentation systems and Microsoft Office (Outlook, Excel, and Word).
- Access to a designated quiet workspace at home, separated from non-work areas, with the ability to secure protected health information.
- Ability to travel to the Southfield, Michigan office for quarterly team meetings.
- Must reside in Michigan.
- Reliable transportation, a valid U.S. driver’s license, and the ability to travel within the assigned territory to meet members and providers up to 75% of the time, depending on member and business needs.
- Must pass a drug test before beginning employment.
Nice To Haves
- RN or LMSW; LCSW or LLMSW.
- At least 1 year of medical case management experience.
- Experience, additional training, or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, or Person-Centered Care.
- Experience serving individuals with co-occurring 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 required health-related information to stakeholders so quality, coordinated care and services are provided promptly.
- Advocate for individuals and families so the patient’s needs and choices are represented and supported by the health care team.
- Assess, plan, and implement individualized care strategies directed toward the most appropriate, least restrictive level of care.
- Identify problems or barriers to care and provide appropriate care management interventions.
- Identify and initiate referrals to social service programs, including financial, psychosocial, community, and state supportive services.
- Provide members with resource support for local services, such as CSHCS, employment, housing, independent living, and foster care, as appropriate to their assessment and plan.
- Manage the person-centered service and 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 facilities, hospitals, or homes.
- Gather, document, and maintain member information and care management activities to ensure compliance with current state and federal guidelines.
Benefits
- $5,000 sign-on bonus for eligible external applicants.
- Paid time off accrued beginning with the first pay period.
- 8 paid holidays.
- Medical plan options and participation in a Health Spending Account or Health Savings Account.
- Dental insurance.
- Vision insurance.
- Life and AD&D insurance.
- Short-term disability coverage.
- 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, including pet insurance, legal insurance, and long-term care insurance.
- Performance rewards and development opportunities.
- Comprehensive benefits package and incentive and recognition programs.
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What This Job Offers
Job Type
Full-time
