Field Clinical Care Coordinator - Kalamazoo County, MI and counties

Coverage Area: Kalamazoo County, MI or surrounding area

Mission: At United Healthcare, we simplify the health care experience, create healthier communities, and remove barriers to quality care. The work you do impacts millions of people for the better. Join us to build the health care system of tomorrow, making it more responsive, affordable and equitable.
Caring. Connecting. Growing together.

Field Clinical Care Coordinator is an essential element of an Integrated Care Model. We establish person‑centered, goal‑oriented, culturally relevant, logical steps to ensure that persons receiving LTSS receive 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.

Field Based with a Home‑Based office. Expected travel: typically 75% within a 50‑mile radius and/or 50‑minute drive from your home pending business needs.

Telecommuting is available for those residing in or near Kalamazoo County, MI or surrounding area.
* Telecommuters must adhere to United Health Group’s Telecommuter Policy.

• 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 individualized care strategies 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.

• 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 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.).

• 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 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+ years of experience working in electronic documentation systems and with MS Office (Outlook, Excel, Word).
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected…