Clinical Care Coordinator

Field Care Coordinator (HIDE SNP) – UnitedHealthcare 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. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. 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 (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 state of Michigan ; Master's degree and current, unrestricted independent licensure as a Social Worker (e.g., LMSW, LCSW, LLMSW) ; or 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. 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 ability to travel within assigned territory up to 75% of the time. Access to a designated quiet workspace in your home 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. Experience or certifications in Motivational Interviewing, Stages of Change, Trauma‑Informed Care, Person‑Centered Care. Experience serving individuals with co‑occurring 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 and Compensation Competitive base pay: $28.27 to $50.48 per hour based on full‑time employment. Paid Time Off, 8 paid holidays. Medical, dental, vision, life & AD&D insurance, short‑term and long‑term disability. 401(k) Savings Plan, Employee Stock Purchase Plan. Education reimbursement. Employee discounts, assistance programs, referral bonus. Voluntary benefits (pet insurance, legal insurance, LTC insurance, etc.). Equal Employment Opportunity 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. #J-18808-Ljbffr