UnitedHealthcare
Field Clinical Care Coordinator
Join to apply for the Field Clinical Care Coordinator role at UnitedHealthcare.
Coverage Area:
Kalamazoo County, MI or surrounding area.
At UnitedHealthcare, we simplify the health care experience, create healthier communities, and remove barriers to quality care. The work you do here impacts the lives of millions for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start
Caring. Connecting. Growing together.
The Field Clinical Care Coordinator 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 Kalamazoo County, MI or surrounding area, you will have the flexibility to telecommute as you take on some tough challenges.
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 (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.
Gather, document, and maintain all member information and care management activities to ensure compliance with current state and federal guidelines.
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+ year 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+ year of experience working with persons with long-term care needs and/or home and community-based services.
1+ year 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 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, LLMSW, LCSW.
1+ years of medical case management experience.
Demonstrated experience or additional training 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.
All telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Benefits
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.
Salary Pay is based on several factors including but not limited to local labor markets, education, work experience, and certifications. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Legal Statements At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location, and income deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and delivering equitable care that addresses health disparities and improves health outcomes.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Additional Information
Seniority level: Entry level.
Employment type: Full-time.
Job function: Other.
Industry: Medical and Diagnostic Laboratories.
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Coverage Area:
Kalamazoo County, MI or surrounding area.
At UnitedHealthcare, we simplify the health care experience, create healthier communities, and remove barriers to quality care. The work you do here impacts the lives of millions for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start
Caring. Connecting. Growing together.
The Field Clinical Care Coordinator 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 Kalamazoo County, MI or surrounding area, you will have the flexibility to telecommute as you take on some tough challenges.
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 (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.
Gather, document, and maintain all member information and care management activities to ensure compliance with current state and federal guidelines.
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+ year 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+ year of experience working with persons with long-term care needs and/or home and community-based services.
1+ year 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 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, LLMSW, LCSW.
1+ years of medical case management experience.
Demonstrated experience or additional training 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.
All telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Benefits
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.
Salary Pay is based on several factors including but not limited to local labor markets, education, work experience, and certifications. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Legal Statements At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location, and income deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and delivering equitable care that addresses health disparities and improves health outcomes.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Additional Information
Seniority level: Entry level.
Employment type: Full-time.
Job function: Other.
Industry: Medical and Diagnostic Laboratories.
#J-18808-Ljbffr