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Field Based 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
Field Based 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: Schedule is Monday through Friday an 8-hour shift between the hours of 8 am to 5 pm. This position is a field-based position with a home-based office. You will work from home when not in the field.
Location: Youngstown, Warren, Columbiana and surround communities in Ohio ( Columbiana, Mahoning, Trumbull County)
Local travel up to 50% and mileage is reimbursed at current government rate.
Primary Responsibilities: - Engage members either face to face or over the phone to have a discussion 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
- 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
- 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
- Enroll members into appropriate programs and services
- Utilize motivational interviewing techniques to help member identify and understand their intrinsic goals and motivate members to engage in positive behavior change
- Coordinate member access to health-related programs, services, and/or providers
- Coordinate with providers to facilitate member care and/or services Present complex case information to interdisciplinary care team and obtain input into member plans as necessary
- Follow up with members to monitor and document completion of plan activities following standard protocols
- Provide guidance or additional assistance to facilitate execution of plans or recommendations to improve member health
- Monitor progress toward plan goals through evaluation of the effectiveness of programs and/or services provided
- Make changes to plans or recommendations based on evaluation outcomes
- Provide individualized education on preventative healthcare measures (e.g., immunization, healthcare screening)
- Educate members on health and wellness information related to disease processes
- Educate member on plan benefits available and/or how to access benefits
- Educate members on disease specific signs and symptoms of worsening condition and action to take if they occur
- Educate member on appropriate utilization of services based on need (e.g., PCP vs. ER)
- Work with internal partners to create a culture of health and wellness that promotes member health
- Plan and execute on-site health and wellness programming for members and engage members in available programs 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:
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 7+ years of case management experience
- 3+ years of experience with knowledge of the resources available, culture, and values in the community
- 3+ years of field-based experience
- Intermediate level of computer proficiency including the use of Microsoft Outlook, Teams, Excel, and multiple web applications
- Reside within Youngstown, Warren, Columbiana and surround communities in Ohio ( Columbiana, Mahoning, Trumbull County)
- Valid driver's license in the state of Ohio and current automobile insurance
- Access to reliable transportation and the ability to travel locally, up to 100 miles round trip and up to 50% of the time to client and/or patient sites within Columbiana, Mahoning, Trumbull County
- Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Preferred Qualifications: - Community Health Worker (CHW) Accreditation
- Experience working in Managed Care
- Knowledge of Medicaid/Medicare population
- Knowledge and/or experience with behavioral health or substance use disorders
- Solves routine problems on own. - Works with supervisor to solve more complex problems
- Prioritizes and organizes own work to meet agreed upon deadlines
- Works with others as part of a team
- Multi-Lingual Spanish or Russian
Soft Skills: - Ability to work independently and as a team, 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
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 . click apply for full job details
