Field Care Coordinator/HIDE SNP

UnitedHealth Group; Battle Creek (MI); Hybride; USD 65 000 - 90 000; Plein temps

Avantages offerts par ce poste

Paid Time Off and holidays

Medical plan options with HSAs/FSAs

Dental, Vision, Life & AD&D + Short/LL

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus Program

Voluntary Benefits

Résumé du poste

UnitedHealth Group is seeking a Field Care Coordinator to join an Integrated Care Model. The role focuses on person-centered, goal-oriented care planning, coordinating services across the continuum, and addressing social determinants of health.

This field-based position includes home-office flexibility and extensive regional travel, with quarterly meetings at a Southfield, MI office. The candidate will possess MI RN license or Social Work licensure (LMSW/LCSW/LLMSW) and have experience in

Qualifications

• Current, unrestricted RN licensure in Michigan or equivalent social work licensure.
• 2+ years in community health care.
• 1+ years with local behavioral health providers addressing SDoH.
• 1+ years serving long-term care or home-and-community-based services.
• 1+ year in electronic documentation systems and MS Office.

Responsabilités

• Develop and implement care plans as a single point of contact.
• Coordinate with stakeholders to ensure timely, quality care.
• Advocate for patient and family needs with health care teams.
• Plan care strategies tailored to individual needs and least restrictive care.
• Identify barriers to care and initiate appropriate interventions.
• Refer to social services (financial, housing, transportation, etc.).
• Provide resource support for local community resources.
• Manage person-centered service plans across care continuum.
• Conduct home visits and coordinate with care team.

Formation

RN licensure in Michigan

Social Worker licensure (LMSW/LCSW/LLMSW)

Bachelor's degree in Social Work or related field

Experience in community health settings

Electronic documentation systems (EMR) & MS Office

Description du poste

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 Barry 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
• 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 (e.g., Children with Special Health Care Services (CSHCS), 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
• Gathers, documents, and maintains all member information and care management activities to ensure compliance with current state and federal guidelines

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• 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 ProgramVoluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

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 health care 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 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 year 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