Community Health Worker

UnitedHealth Group•Las Vegas, NV

7d•$20 - $36•Remote

About The Position

The Field Based Community Health Worker is responsible for identifying and initiating referrals for social service programs, including financial, psychosocial, community and state supportive services. As a Field Based Community Health Worker (CHW), will interact with Medicare and Medicaid members to ensure to provide home and social resources and member resource education. The Field Based Community Health Worker also addresses social determinants of health such as transportation, housing, and food access. Primary responsibility for the community health worker is to locate and interact with assigned members to bridge medical care appointments and collaborate with both medical management teams and primary care for best clinical and social outcomes.

Requirements

High School Diploma/GED
1+ years of computer proficiency experience including MS Word, Excel and Outlook
6+ months of field-based experience of community advocacy
Solid knowledge of regulatory requirements, competent in case management business as well as clinical arenas
Demonstrated solid technology skills and excellent interpersonal skills
Demonstrated ability to negotiate and arbitrate without difficulty
Demonstrates activities for follow-through
Ability to travel locally within Las Vegas Metro and complete documents for Reimbursed mileage
Resides within the local community
Unrestricted Driver’s License
Pass a drug test before beginning employment

Nice To Haves

Experience in case management, community outreach or volunteer activities with interaction with the public

Responsibilities

Create a positive experience and relationship with the members
Help members set goals and develop a care plan to achieve those goals
Proactively engage the members to manage their own health and healthcare
As needed, help the member engage with mental health and substance use treatment
Utilize both company and community-based resources to establish a safe and effective case management plan for members
Collaborate with patients, family, and healthcare providers
Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services
Document referrals provided
Accountable to understand role and how it affects utilization management benchmarks and quality outcomes
Be flexible, adaptable and, above all, patient in all types of situations
Engage members either face to face or telephonically
Help members set person-centered goals and develop checklist of resources to achieve those goals with regular follow- up calls and ongoing documentation of progress towards goals met
Adhere to detailed, specific documentation requirements in the member’s health record
Proactively engage the members to manage their own health and healthcare using Motivational Interviewing Skills
Provide member education on community resources and benefits
Utilize solid skill sets of managing multiple tasks at a time, being self-motivated, driven toward quality results, managing time well, being very detailed oriented and organized, working well in a team and on your own, and managing multiple deadlines
Provide member education on community resources and benefits
Partner with care team (community, providers, internal staff)
Knowledge and continued learning of community cultures and values
Performs other duties as assigned
Participation in departmental projects assigned by Director or Manager
Maintains productivity standards for at home visits and phone management set by the director of the program
Participates in safety programs as deemed required for home and driving locations