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UnitedHealthcare · 2 months ago

Field Care Coordinator/HIDE SNP - Van Buren County, MI and surrounding

PAW PAW LAKE, MI

Full-time

Hybrid

Entry, Mid Level

$28.27/hr - $50.48/hr

2+ years exp

UnitedHealthcare is focused on simplifying the health care experience and creating healthier communities. The Field Care Coordinator is responsible for establishing person-centered care plans and coordinating services to ensure effective care delivery for members, including case management and addressing social determinants of health.

FitnessHealth CareWellness

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

Qualification

Registered Nurse licensureSocial Worker licensureCommunity health experienceBehavioral health experienceLong-term care experienceElectronic documentation systemsMS Office proficiencyMotivational InterviewingTrauma-Informed CarePerson-Centered CareCo-occurring disorders experienceManaged Care experienceNCQA standards knowledge

Required

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

RN or LMSW; LCSW, LLMSW

1+ years 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