Field Care Coordinator (HIDE SNP) - Wayne County, MI and Surrounding

UnitedHealth Group•Southfield, MI

3d•$29 - $52•Hybrid

About The Position

The Field Care Coordinator – HIDE SNP is an essential part of an Integrated Care Model. The coordinator establishes person-centered, goal-oriented, culturally relevant steps to ensure that 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 planning, 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 and/or a 50-minute drive from the employee’s home, with travel primarily throughout Wayne County and potentially surrounding counties based on business needs. The role also requires travel to the Southfield, Michigan office for quarterly team meetings. The position is available to people residing in or near Wayne County or surrounding areas, and telecommuting is available subject to UnitedHealth Group’s Telecommuter Policy.

Requirements

Current, unrestricted independent Michigan Registered Nurse (RN) license; or a master’s degree and current, unrestricted independent social worker license (e.g., LMSW, LCSW, LLMSW); or a bachelor’s degree and current, unrestricted independent social worker license (e.g., LLBSW, LBSW).
At least 2 years of experience working 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-emergent transportation, utility assistance, or 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 using electronic documentation systems and Microsoft Office (Outlook, Excel, and Word).
Access to a designated quiet workspace at home, separate from non-work areas, where protected health information can be secured.
Ability to travel to the Southfield, Michigan office for quarterly team meetings.
Must reside in Michigan.
Access to reliable transportation, a valid U.S. driver’s license, and 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 to help ensure quality, coordinated care and services are provided promptly.
Advocate for individuals and families so that their 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 and 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 take place in nursing homes, assisted living facilities, hospitals, or homes.
Gather, document, and maintain member information and care management activities in compliance with current state and federal guidelines.

Benefits

Paid time off accrued beginning with the first pay period, plus 8 paid holidays.
Medical plan options and participation in a Health Spending Account or Health Savings Account.
Dental, vision, life and AD&D insurance, 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, including pet insurance, legal insurance, and long-term care insurance.
Performance rewards and a comprehensive benefits program.
$5,000 sign-on bonus for eligible external applicants.