Field Community Health Worker

UnitedHealth Group • Cheshire, CT

95d • $20 - $35 • Remote

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. The Community Health Worker is responsible for assessment, planning and implementing care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care. They also Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services, and manage the care plan throughout the continuum of care as a single point of contact for the member. As a Community Health Worker (CHW), you will act in a liaison role with Medicaid members to ensure appropriate care is accessed as well as to provide home and social assessments and member education. The coordinator also addresses social determinant of health such as transportation, housing, and food access. Schedule: Monday through Friday between the hours of 8 am to 5pm. No nights, weekends, or holidays. Local travel up to 50% and mileage is reimbursed at current government rate. This position is a field-based position with a home-based office. You will work from home when not in the field. If you reside within Gallia, Jackson, or Laurance County, Ohio, you will have the flexibility to telecommute as you take on some tough challenges.

Requirements

• High School Diploma/GED (or higher)
• 1+ years of experience with knowledge of the resources available, culture, and values in the community
• Intermediate level of computer proficiency (including Microsoft Outlook, Teams) and ability to use multiple web applications
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Must reside within a commutable distance to Gallia, Jackson, or Laurance County, Ohio area and the surrounding communities
• Valid driver's license and current automobile insurance with access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
• Ability to travel locally, up to 100 miles round trip and up to 50% of the time

Nice To Haves

• Associate degree (or higher) in a health-related field
• LPN (Licensed Practical Nurse) Licensure or CNA / HHA
• Community Health Worker (CHW) Accreditation
• 1+ years of field-based experience
• Experience/position with Community outreach
• Experience/position in healthcare
• Experience working in Managed Care
• Experience/position in a Community Health Related field
• Knowledge of Medicaid/Medicare population

Responsibilities

• Engage members either face to face or telephonically to assist with closing gaps in care, linking to necessary services and providing education about their health
• Review available member services records and relevant documentation (e.g. utilization history, functional level, stratification information)
• Conduct member health assessments that include bio-psychosocial, functional, and behavioral health needs
• Utilize interviewing techniques and active listening to collect and retain member information and incorporating responses as they are presented to complete assessment
• Identify member service needs related to health concerns
• Identify urgent member situations and escalate to next level when necessary
• Engage member to participate in the assessment process and collaboratively develop Health Action Plan based on their individual needs, preferences, and objective with nursing oversight
• Work with members to develop healthcare goals and identify potential barriers to achieving healthcare goals
• Identify member support systems available and incorporate into their Health Action Plan
• Review plan benefits and identify appropriate programs and services based on health needs and benefits
• Integrate health care and service needs into a plan or recommendation for member care and service
• Work collaboratively with the interdisciplinary care team to ensure an integrated team approach
• Collaborate with member to create solutions to overcome barriers to achieving healthcare goals
• Identify relevant community resources available based on member needs
• Refer members to appropriate programs and services
• Facilitate member choice of preferred providers
• Advocate for individuals and communities within the health and social service systems

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED