Field Based Community Health Worker

UnitedHealth Group • El Paso, TX

1d • $20 - $36 • Onsite

About The Position

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. Join us and start doing your life's best work.(sm)
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
• Direct experience with the ABD/SSI population in 3 of the last 5 years.
• 4+ years of experience working within the community health setting in a health care role
• 1+ years of experience working with Microsoft Word, Excel, and Outlook to Data entry and Word processing skills
• 1+ years of experience in long-term care, home health, hospice, public health or assisted living
• 1+ years of experience in electronic charting
• 1+ years of experience knowledge of the resources available, culture, and values in the community
• Bilingual fluency in English and Spanish
• Must be willing to work on-site at the following location: 1145 Westmoreland Dr. El Paso, TX 79925
• Must reside in El Paso, TX
• Ability to work schedule listed in the posting
• 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

Nice To Haves

• 2+ years of field-based experience
• 1+ year of experience with knowledge of the resources available, culture, and values in the community
• Experience working in Managed Care, Behavioral Health, and Substance Abuse
• Experience in women’s and or pediatric health care setting
• Knowledge of TX Medicaid
• Ability to obtain a Community Health Worker Certification within 6 months of being hired or a current Community Health Worker Certification

Responsibilities

• Assess, plan, and implement care strategies that are individualized for each 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 member, family, and healthcare providers to develop an individualized plan of care
• Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services
• Manage care plan 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 patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the healthcare team
• Understand insurance products, benefits, coverage limitations, insurance, and governmental regulations as it applies to the health plan
• Monitor services being delivered to ensure timeliness, appropriateness, and satisfaction in meeting Member needs
• Reports medically complex cases to appropriate roles as necessary for review and problem solving
• Provides administrative support for care coordination Level 1 and Level 2 Service Coordinators as identified
• Coordinates care and efficient utilization of health care resources for patients identified in the Starplus program through communication with other members of the health care team, including physician offices, social workers, nurses, and other multidisciplinary team members as appropriate to obtain optimal outcomes for members
• Refers member to disease management team
• Maintains status on telephonic Service Coordination phone calls from the members and/or LARs to meet regulatory requirements
• Ensure thorough knowledge of the Star+Plus contract and meet all Service Coordination contract requirements
• 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