UnitedHealthcare
Field Clinical Care Coordinator in Michigan,
UnitedHealthcare, Kalamazoo, Michigan, United States, 49006
Field Clinical Care Coordinator in Michigan
Join to apply for the Field Clinical Care Coordinator in Michigan role at UnitedHealthcare.
Coverage Area:
Kalamazoo County, MI or surrounding area.
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. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
Position:
Field Care Coordinator - HIDE SNP (Field Based with Home-Based office)
The Field Care Coordinator is an essential element of an Integrated Care Model and is responsible for establishing person-centered, goal-oriented, culturally relevant 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.
The expected travel time for member home visits is typically 75% within a 50-mile radius and/or a 50-minute drive from your home pending business needs. If you reside in or near Kalamazoo 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
Identify 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
Provide resource support to members for local resources for services (e.g., Children with Special Health Care Services, 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
Gather, document, and maintain all member information and care management activities to ensure compliance with current state and federal guidelines
Qualifications
Required Qualifications
Must possess one of the following:
Current, unrestricted independent licensure as a Registered Nurse (RN) in the 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 healthcare role
1+ years of experience with local behavioral health providers and community support organizations addressing social determinants of health
1+ years of experience working with persons with long-term care needs and/or home and community-based services
1+ years of 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
Access to a designated quiet workspace at home with the ability to secure PHI
Ability to travel to Southfield, MI office for quarterly team meetings
Must reside within the state of Michigan
Preferred Qualifications
RN or LMSW, LLMSW, LCSW
1+ years of medical case management experience
Training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, or Person-Centered Care
Experience with co-occurring disorders (mental health and substance use)
Experience with MI Health Link (MMP)
Experience working in Managed Care
Working knowledge of NCQA documentation standards
Telecommuter policy adherence
Compensation and Benefits
Pay is based on factors including local labor markets, education, work experience, and certifications. The hourly pay for this role ranges from $28.27 to $50.48 based on full-time employment. We offer a comprehensive benefits package including Paid Time Off, holidays, medical, dental, vision, life and disability coverage, 401(k), education reimbursement, employee discounts, EAP, referral bonuses, voluntary benefits, and more.
EEO Notice
UnitedHealth Group is an Equal Employment Opportunity employer. Candidates are considered without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status. UnitedHealth Group is a drug-free workplace; a drug test may be required before employment.
UnitedHealth Group is committed to safeguarding PHI and complying with state and federal regulations. Telecommuting may be available in accordance with company policy.
#RPO #RED #RPOLinkedin
Location: Kalamazoo, MI
#J-18808-Ljbffr
Coverage Area:
Kalamazoo County, MI or surrounding area.
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. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
Position:
Field Care Coordinator - HIDE SNP (Field Based with Home-Based office)
The Field Care Coordinator is an essential element of an Integrated Care Model and is responsible for establishing person-centered, goal-oriented, culturally relevant 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.
The expected travel time for member home visits is typically 75% within a 50-mile radius and/or a 50-minute drive from your home pending business needs. If you reside in or near Kalamazoo 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
Identify 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
Provide resource support to members for local resources for services (e.g., Children with Special Health Care Services, 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
Gather, document, and maintain all member information and care management activities to ensure compliance with current state and federal guidelines
Qualifications
Required Qualifications
Must possess one of the following:
Current, unrestricted independent licensure as a Registered Nurse (RN) in the 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 healthcare role
1+ years of experience with local behavioral health providers and community support organizations addressing social determinants of health
1+ years of experience working with persons with long-term care needs and/or home and community-based services
1+ years of 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
Access to a designated quiet workspace at home with the ability to secure PHI
Ability to travel to Southfield, MI office for quarterly team meetings
Must reside within the state of Michigan
Preferred Qualifications
RN or LMSW, LLMSW, LCSW
1+ years of medical case management experience
Training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, or Person-Centered Care
Experience with co-occurring disorders (mental health and substance use)
Experience with MI Health Link (MMP)
Experience working in Managed Care
Working knowledge of NCQA documentation standards
Telecommuter policy adherence
Compensation and Benefits
Pay is based on factors including local labor markets, education, work experience, and certifications. The hourly pay for this role ranges from $28.27 to $50.48 based on full-time employment. We offer a comprehensive benefits package including Paid Time Off, holidays, medical, dental, vision, life and disability coverage, 401(k), education reimbursement, employee discounts, EAP, referral bonuses, voluntary benefits, and more.
EEO Notice
UnitedHealth Group is an Equal Employment Opportunity employer. Candidates are considered without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status. UnitedHealth Group is a drug-free workplace; a drug test may be required before employment.
UnitedHealth Group is committed to safeguarding PHI and complying with state and federal regulations. Telecommuting may be available in accordance with company policy.
#RPO #RED #RPOLinkedin
Location: Kalamazoo, MI
#J-18808-Ljbffr