Quality Community Health Worker - Remote in Nebraska

UnitedHealth Group•Omaha, NE

2d•$20 - $36•Remote

About The Position

As a Quality Community Health Worker (CHW), you will serve as a vital link between the health plan, healthcare providers, and Medicaid members to improve health outcomes, reduce disparities and support contractually required Performance Improvement Projects (PIP). This role focuses on proactive outreach and engagement to support members in completing preventative health screenings, closing gaps in care, and navigating follow-up services after hospitalizations, including behavioral health and substance use–related visits. The CHW partners closely with internal teams, providers, and community organizations to address barriers to care, promote health education, and facilitate timely access to services aligned with HEDIS®, state quality measures, and support Performance Improvement Projects (PIP). Through member-centered engagement, the CHW supports improved care coordination, transitions of care, and adherence to recommended treatment and follow-up. This role may require travel up to 50% of the time within the community with a home-based office. You will meet members where they are, in their homes, hospitals, clinics, or community settings—to build trust, assess needs, and provide hands-on support. Success in this role requires flexibility, strong communication skills, cultural competency, and the ability to adapt to diverse and complex member situations. If you are located in Omaha, Nebraska, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

High School Diploma/GED
2+ years of experience working within the Community Health setting within a healthcare role
Intermediate level of computer proficiency including Microsoft Outlook, Teams, Excel, Word, etc. and the ability to use multiple web applications
The ability to travel in assigned regions to visit Medicaid members in their homes and/or other settings, including community centers, hospitals or provider offices not to exceed 50% of your time and only during regular business hours.
Must reside in Nebraska
Valid Nebraska 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
Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Nice To Haves

Bachelor's degree in social work, licensed practical nurse (LPN), CAN/HHA or HS graduate with 3 years of experience working within the community health setting in a health care role
Previous experience working as a Community Health Worker
Knowledge and/or experience with behavioral health or substance use disorders
Community Health Worker training and/or certification
Bilingual in English and other languages
Training in motivational interviewing
Strong knowledge of local community resources and services
Knowledge of Medicaid and working in Managed Care
Ability to work with diverse populations

Responsibilities

Conduct targeted outreach to members identified through claims data, HEDIS gap reports, and transition-of-care alerts to drive Quality performance improvements and improved health outcomes
Connect with members to promote follow-up appointments after emergency department visits and hospitalizations, including behavioral health and substance use-related events
Collaborate with internal teams to implement PIP strategies and document outcomes aligned with HEDIS and state quality measures
Participate in and support the implementation of quality improvement strategies aimed at enhancing overall health plan performance and outcomes
Collaborate with providers, care teams, and community organizations to support coordination of care and timely access to recommended services
Assist members in navigating the healthcare system, including scheduling appointments and understanding available benefits
Facilitate access to community-based services and resources to address identified needs
Conduct assessments of member healthcare, behavioral health, and social needs using available tools and guidance
Identify and escalate barriers to care, including social determinants of health (SDOH) and access issues.
Collect and document member information and communicate relevant updates to care teams to support ongoing care
Provide culturally appropriate health education to support preventive care, treatment adherence, and healthy lifestyle choices
Encourage and support members in adopting positive health behaviors
Advocate for member needs within established processes and escalate concerns as appropriate
Participate in community outreach efforts such as health events, screenings, and education initiatives
Support implementation of outreach activities in collaboration with internal teams and community partners
Accurately document outreach activities, member interactions, and outcomes in designated systems
Support quality improvement initiatives by promoting completion of preventive services and identified care gaps
Follow established procedures and workflows for tracking and reporting outreach activities
Strong multitasking, organization, and time management skills with the ability to meet multiple deadlines and work independently and collaboratively