Field Based Community Health Worker

UnitedHealth Group • Miami, FL

4d • $20 - $36 • Hybrid

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
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), you will act with 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.
Together, we're removing the barriers that keep people from receiving the kind of quality healthcare that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well - being.

Requirements

• High School Diploma / GED
• 2+ years of field-based experience
• 1+ year of experience with knowledge of the resources available, culture, and values in the community
• Must reside within a commutable distance to Miami, and surrounding communities in Miami, FL (must reside in Miami Dade County)
• Bilingual in Spanish and English
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• 1+ year of computer proficiency experience including MS Word, Excel and Outlook
• Ability to travel locally approximately 25%25 of the time up to 100 miles round trip with Reliable transportation, that will enable you to travel to client and/or patient sites within a designated area, with a current and non-restricted state of Florida Driver’s License and State-required insurance

Nice To Haves

• Knowledge and/or experience with behavioral health or substance use disorders
• Care management experience
• CHW Accreditation
• Experience working in Managed Care
• Knowledge of Medicaid and/or Medicare population
• Knowledge of culture and values of community
• Familiarity with the resources available in the community
• Ability to work independently and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

Responsibilities

• Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, level of care
• Utilize both company and community-based resources to establish a safe and effective case management plan for members
• Collaborate with patient, family, and healthcare providers
• Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services
• Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
• Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare team
• Document all member assessments, care plan and referrals provided.
• Accountable to understand role and how it affects utilization management benchmarks and quality outcomes
• Engage members either face to face or telephonically
• Help member set person-centered SMART goals and develop a care plan 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 member to manage their own health and healthcare using Motivational Interviewing Skills
• Provide member education on community resources and benefits
• Utilize strong 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, work well in a team and on your own, and ability to manage multiple deadlines.
• Conduct post discharge activities from hospital facility and support connection to social services in conjunction with Peer Support where applicable
• Performs other duties as assigned

Benefits

• 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 disability 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.)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED