The overall purpose of the Field Care Coordinator (FCC) is to coordinate care with members in order improve the member's ability to remain stable in the community and out of the hospital. This coordination includes intensive coordination, discharge coordination, and care coordination for members. The FCC role is to engage the person in the treatment process and then assist his/her to access the appropriate community services so they can pursue their treatment goals in the community and avoid institutionalization. This position focuses on members with high needs, high utilization, and in need of complex Behavioral Health Care Coordination and works closely with members, providers, State stakeholders, Utilization Management, and Peer Support.
The Field Care Coordinator position is also designed to be a direct clinical liaison between providers and the health plan and works in conjunction with the Quality and Network team to assist providers with technical support, including education in clinical managed care and education in clinical best practices.
If you are located in Boise, Idaho, you will have the flexibility to telecommute* as you take on some tough challenges.
Performing care management activities to ensure that patients move through the continuum of care efficiently and safely
Assessing and interpreting customer needs and requirements
Reviews cases and analyzes clinical information in conjunction with Medical Directors to determine the appropriateness of hospitalization
Performing Clinician to Physician interaction to acquire additional clinical information or discuss alternatives to current treatment plans
Escalates cases to the Medical Director for case discussion or peer-to-peer intervention as appropriate
Performs anticipatory discharge planning in accordance with the patient's benefits and available alternative resources
Collaborates with Medical peers on consideration of discharge planning needs
Refers patients to disease management or case management programs
Assists with the development of treatment plans
Documents activities according to established standards
Licensed Master's Degree-Level Clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling OR a Licensed Ph.D. level Psychologist, OR an RN with behavioral health experience
License must be active and unrestricted to practice at the independent level
2 years of experience in a behavioral health setting
Proficiency with Microsoft Office Suite programs (Word, Outlook, Internet)
Must live within a commutable distance of Boise, ID
Access to reliable transportation and the ability to accommodate up to 75% field-based travel
Dual diagnosis experience with mental health and substance abuse
Experience working in an environment that required coordinating benefits and utilizing multiple groups and resources for patients
Knowledge of Level of Care Guidelines (i.e., Milliman, InterQual, etc.)
Experience working with the Medicaid patient population
Knowledge of provider networks in the Boise area
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Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: case manager, care coordinator, care advocate, social worker, therapist, counselor, mental health, behavioral health, managed care, substance abuse, inpatient, LP, LCSW, LMFT, LSW, LPC, RN, registered nurse, Boise, Meridian, Idaho
Unitedhealth Group Inc.