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 position will be the primary care manager for members with complex medical or behavioral needs who aren't otherwise managed by the team's clinicians. The Community Health Worker works assertively to locate and engage members in the community. They will develop individualized plans of care that focus on the member's definition of success. The Community Health Worker identifies and overcome barriers to goal achievement, including SDOH barriers. This position will work in collaboration with the interdisciplinary clinical care management team (Pod) to advance interventions aligned with a member's readiness to change. The Community Health Worker will approach their member work with an understanding of how inequities drive health disparities. The Community Health Worker will promote health equity.
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Working Schedule: Schedule is Monday through Friday, any 8-hour between the hours of 8:00 am to 5:00 pm Eastern Standard Time.
Location: remote in the state of Florida.
If you reside in Florida, you will enjoy the flexibility to telecommute as you take on some tough challenges.
Primary Responsibilities:
- Partner with clinical care management team to manage complex members in the community
- Locate and engage members in the community
- Conduct screenings telephonically or virtually, to assess member medical, behavioral, functional, cognitive and psychosocial needs, i.e. health risk assessment
- Engage members over the phone to educate about their health
- Review available member service records and relevant documentation (e.g., utilization history, functional level, stratification information, current plan of care)
- Conduct comprehensive member assessment that includes 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 when supplemental assessments are needed and conduct supplemental assessments
- 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 plan of care based on their individual needs, preferences, and objectives 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 plan of care
- Review plan benefits and identify appropriate programs and services based on heath 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 provider
- Provide informal counseling and social support resources
- Advocate for individuals and communities within the health and social service systems
- Moderate work experience within own function
- Some work is completed without established procedures
- Basic tasks are completed without review by others
- Supervision/guidance is required for higher level tasks
- Performs other duties as assigned
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
- 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.)
- More information can be downloaded at: http://uhg.hr/uhgbenefits
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- High School Diploma/GED (or higher)
- 4+ years of relevant clinical work experience
- 3+ years of experience managing needs of complex populations (e.g. Medicare, Medicaid)
- 1+ years of community case management experience coordinating care for individuals with complex needs
- Reside in the state of Florida
Preferred Qualifications:
- LPN (Licensed Practical Nurse) Licensure or CNA / HHA
- Bilingual in [Spanish]
- Community Health Worker (CHW) Accreditation
- Experience working in team-based care
- Experience working in Managed Care
Soft Skills:
- Possess a strong work ethic
- Ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner
- Ability to adapt to change in the workplace
- Ability to work independently and as a part of a team
- Ability to interact with internal and external customers in a corporate environment
- Must possess a positive and motivated attitude
- Willingness to adapt to multiple external environments and settings
All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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