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
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Field Based Community Health Worker is responsible for assessment, planning and implementing care strategies that are individualized by patient and/or Community Organizations 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
pregnancy continuum of care as a single point of contact for the member. As a
Field Based Community Health Worker (CHW), you will act in a liaison role with Community Organizations/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. You will be responsible working with our State Guardianship members.
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.
Working Schedule: Schedule is Monday through Friday any 8-hour or 10- hour shift to be determined by the hiring manager between the hours of 7am to 7pm. This position is a field-based position with a home-based office. If you are located in the state of Kentucky, you will have the flexibility to take on some tough challenges managing our
maternity population.
Location: Hazard, Pikeville and surrounding communities, Kentucky. Local travel up to 50% and mileage is reimbursed at current government rate.
Primary Responsibilities: - Assess, plan, and implement care strategies that are individualized by patient 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
- Conduct member health assessment that includes pregnancy risk, functional, and behavioral health needs
- Work with members to develop healthcare goals and identify potential barriers to achieving healthcare goals
- Work collaboratively with the interdisciplinary care team to ensure an integrated team approach
- Collaborate with patient, 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
- Accountable to 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 member 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 member to manage their own health and healthcare using Motivational Interviewing Skills
- Provide member education on community resources and benefits
- Utilize strong 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
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:
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) OR 4+ years of community outreach work experience
- 2+ years of experience working within the Community Health setting in a field-based healthcare role (i.e.: case management experience)
- 2+ years of experience working within the local community, with demonstrated knowledge of culture and values within the community and familiarity with the resources available within the community
- 2+ years of experience with disease management and treatment
- 1+ years of experience with the maternity population
- Intermediate level of computer proficiency including the use of MS Word, Excel, Outlook, and 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) and Live in a location that can receive an approved high-speed internet connection or leverage an existing high-speed internet
- Must reside in Kentucky within a commutable distance to Hazard , Pikeville and surrounding communities in Kentucky
- Access to reliable transportation and the ability to travel locally approximately 50% of the time and up to 100 miles round trip to client and/or patient sites within a designated area
- Current and non-restricted state of Kentucky driver's license and state-required insurance
Preferred Qualifications: - Bachelor's Degree in a health-related field or social work or Health Care Administration
- Community Health Worker (CHW) State course completion
- Licensed Practical Nurse (LPN), Certified Nursing Assistant/Home Health Aide, Certified Medical Assistant
- Background in managing populations with complex medical and behavioral needs,
- Experience with arranging community resources
- Experience with electronic charting
- Bilingual - Spanish
- Knowledge of Medicaid population
- Experience working in team-based care
Soft Skills: - Strong communication and customer service skills both in person and via phone
- Ability to work independently and maintain good judgment and accountability
- Demonstrated ability to work well with others
- 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
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 . click apply for full job details