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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. Interesting in learning to work with medically complex patients who may be experiencing significant addiction and/or behavioral health conditions is important for this role.
The CHW provides assessments of social and functional health issues affecting chronically ill and high-risk patients in a variety of environments, primarily the home setting. The CHW works in collaboration with a multidisciplinary team to identify and access services to close care gaps and improve quality of life of OAH members. They help to manage health problems by coordinating health care services for these members in accordance with State and Federal rules and regulations. This includes (but is not limited to) assessment, development and implementation of plan of care. Ongoing care and management of members is conducted in collaboration with other care team members and includes scheduling of follow up clinician visits with member agreement.
This position is full-time (40 hours/week) Monday
Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8am
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.
Locate, outreach and engage members within the community that clinicians and care navigators have not been able to reach; create a positive experience and relationship with the member
Assesses functional and social needs of members and collaborates to develop and implement solutions with the frequency established in the model of care
Establish goals and a plan of care to meet identified functional and social needs
Begin implementation of care plan
Work collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care
Works closely with clinicians to help bridge the gap for these previously un-engaged members and members with whom contact was lost
Identify, refer, and coordinate available community resources to address non-medical needs and ensure patient access to services
Completely and accurately document in patient's electronic medical record
Provide patients and family members with education regarding the need for follow up as appropriate during each patient visit
Actively participate in organizational quality initiatives
Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery (e.g. Pod calls)
Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our members
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.2
High School Diploma / GED (or higher)
Must have resided within the community for 2+ years
Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area
Ability to travel up to 75% of the time for field-based work
Schedule is Monday
Must be within 45 minutes from Erie PA or Wilmington DE
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
3+ years of experience in working with at risk populations
Field based experience highly preferred
Licensed Practical Nurse (LPN), Certified Nursing Assistant / Home Health Aide, or Medical Assistant
Bilingual fluency in Spanish and English
Experience working in managed care
Knowledge of Medicare/Medicaid population
Knowledge of culture and values of community
Familiarity with the resources available in the community
Ability to work with diverse care teams
Exhibit independent clinical judgment, but the ability to consult and engage with other team members for improved patient outcomes.
UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military
Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. https://uhg.hr/vet
UnitedHealth Group is working to create the health care system of tomorrow.
Already Fortune 10, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.
Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.
Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.
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UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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