Quick overview

Act as a liaison for Medicaid members to ensure access to appropriate care through home assessments and health education. Monitor member progress toward health goals and coordinate with internal partners to implement wellness programming.

Requirements summary

Requires a High School Diploma or GED and at least two years of residency in the local community. Must have a home workspace with high-speed internet and the ability to travel locally up to 60% of the time.

high schoolbachelor degreeprofessional certificateCase ManagementPatient MonitoringData EntryClinical DocumentationMicrosoft ExcelMicrosoft WordMicrosoft OutlookInterdisciplinary CollaborationMedicaid KnowledgeCommunity OutreachResource CoordinationBehavioral Health SupportMember EducationSocial AssessmentPreventative Healthcare EducationVirtual Call Center Navigation

Job description

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. 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. CHW’s work in a team - based structure and spend the majority of their time in the community engaging directly with members. Interest in learning to work with medically complex patients who may be experiencing significant addiction and/or behavioral health conditions is important for this role. This position is full - time (40 hours / week) Monday - Friday 8am to 5pm. It may be necessary, given the business need, to work occasional overtime. 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 in the Western Region of Kentucky, you will have the flexibility to work remotely
as you take on some tough challenges. Local travel up to 60%25 and mileage is reimbursed at current government rate. Primary Responsibilities: Follow up with members to monitor and document completion of plan activities following standard protocols 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 Educate members/caregivers in self-management and plan benefits Provide individualized education on preventative healthcare measures (e.g., immunization, healthcare screening) Provide guidance or additional assistance to facilitate execution of plans or recommendations to improve member health Educate members on health and wellness information related to disease processes and plan benefits 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 Use Technology to obtain and document Health-Related Information Research member-related health information (e.g., medications, clinical records, policies, benefit information) using internal and external systems Use desk top computer applications (e.g., Excel, Word, Outlook, Office Communicator) to summarize information (e.g., reports) or communicate member information to others. Document information (e.g., assessment information, member interactions, referrals, follow up plans) in relevant computer systems. Navigate multiple applications at once to obtain and/or document member information Learn updates and changes to computer systems/applications and apply to navigate applications effectively Execute and meet performance goals within a virtual environment Navigate Virtual Call Center (VCC) system to receive inbound calls, make outbound calls, and document call time and activity appropriately 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.

Benefits

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

Bachelor's degree in social work, licensed practical nurse (LPN), CNA/HHA or HS graduate with 3 years of experience working within the community health setting in a health care role. Knowledge and / or experience with behavioral health or substance use disorders 2+ years of field - based experience 2+ years working in a case management role Previous care management experience CHW Certification Experience working in Managed Care Knowledge of Medicaid and / or Medicare population Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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. #RPO, #RED

Community Health Worker- Western Region of Kentucky

3 listed locations

Quick overview

Requirements summary

Job description

Benefits

Required Qualifications

Preferred Qualifications

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