Field Based Community Health Worker - Kansas

UnitedHealth Group•Hays, KS

17d•$20 - $36•Hybrid

About The Position

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. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As a Field Based Community Health Worker (CHW), you will act in a liaison role with Medicaid members to ensure appropriate care is accessed as well as providing community resources and benefit education. CHW’s work in a team-based structure and spend the majority of their time engaging directly with members. An interest in learning to work with medically complex patients who may be experiencing significant addiction and/or behavioral health conditions is important for this role. Working Schedule: Schedule is Monday through Friday standard business work hours 8am to 5pm Central Standard Time. Local travel up to 75%25 of the time and mileage is reimbursed at current government rate. This is a Field-Based Role with a Home-Based Office. If you reside within the state of Kansas, you will enjoy the flexibility to work in both the field as well as remotely as you take on some tough challenges. Primary Responsibilities: Assess, plan, and implement care strategies that are individualized by the member and directed toward the most appropriate, lease restrictive level of care 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 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 Participate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe transitions of care Understand insurance products, benefits, coverage limitations, insurance, and governmental regulations as it applies to the health plan Understand role and how it affects utilization management benchmarks and quality outcomes You’ll need to 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 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 members to manage their own health and healthcare using Motivational Interviewing Skills As needed, help the member engage with mental health and substance use treatment 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, work well in a team and on your own, and ability to manage multiple deadlines You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Requirements

High School Diploma/GED (or higher)
1+ years of experience assisting others with healthcare and/or social determinants of health needs
Intermediate level of computer proficiency including MS Word, Excel and Outlook
Intermediate level of familiarity with the resources available in the community
Ability to travel up to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers' offices
Ability to comply with UHG Telecommuting Policy and have a designated workspace inside the home with access to high-speed internet availability
Access to reliable transportation and valid US driver’s license

Nice To Haves

Community Health Worker (CHW) State course completion
Case management experience
Experience with arranging community resources
Experience with electronic charting
Knowledge and/or experience with behavioral health or substance use disorders
Background in managing populations with complex medical or behavioral needs
Bilingual / Spanish

Responsibilities

Assess, plan, and implement care strategies that are individualized by the member and directed toward the most appropriate, lease restrictive level of care
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
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
Participate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe transitions of care
Understand insurance products, benefits, coverage limitations, insurance, and governmental regulations as it applies to the health plan
Understand role and how it affects utilization management benchmarks and quality outcomes
Engage members either face to face or telephonically
Help members 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 members to manage their own health and healthcare using Motivational Interviewing Skills
As needed, help the member engage with mental health and substance use treatment
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, work well in a team and on your own, and ability to manage multiple deadlines