Field Care Coordinator/HIDE SNP

Optum; Kalamazoo (MI); Hybrid; USD 60,000 - 85,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan options (HSA/Health Plan)

Dental, Vision, Life & AD&D Insurance

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus Program

Voluntary Benefits (pet, legal, LTC)

UH benefits information download

Job summary

Optum in Michigan is seeking a Field Care Coordinator to support LTSS through person-centered, goal-oriented care planning and coordination. This field-based role includes a home office and travel within a 50-mile radius, with some visits to facilities or hospitals.

You will collaborate with the care team to address social determinants of health and integrate services into the community. The role emphasizes advocacy, individualized care planning, and timely communication with stakeholders to

Qualifications

• Current, unrestricted RN license in Michigan.
• Master's degree and current licensure as a Social Worker (e.g., LMSW, LCSW, LLMSW).
• Bachelor's degree and current licensure as a Social Worker (e.g., LLBSW, LBSW).
• 2+ years of community health experience in a health care role.
• 1+ years of experience with local behavioral health providers addressing SDoH.
• 1+ years of experience with long-term care needs or home and community-based services.
• 1+ year experience with electronic documentation systems and MS Office.

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.
• Advocate for persons and families to ensure needs and choices are represented and supported by the health care team.
• Assess, plan, and implement individualized care strategies targeting appropriate levels of care.
• Identify problems/barriers to care and provide care management interventions.
• Identify and initiate referrals for social service programs including financial, psychosocial, housing, and transportation.
• Provide resource support to members for local resources based on service assessments.
• Manage the person-centered service plan throughout the continuum of care.
• Conduct home visits in coordination with the person and care team.
• Conduct in-person visits at nursing homes, assisted living, hospital, or home.
• Gathers, documents, and maintains all member information to ensure compliance with state/federal guidelines.

Education

RN license in Michigan

MSW / LMSW / LCSW / LLMSW licensure

BSW / LSBSW licensure

Tools

MS Office (Outlook, Excel, Word)

Job description

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 Program
• Voluntary 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