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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 providing community resources and benefit education. CHW’s work in a team-based structure and spend the majority of their time engaging directly with members. An 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.

Working Schedule: Schedule is Monday through Friday standard business work hours 8am to 5pm Central Standard Time. No nights, weekends or Holidays. Local travel up to 75% of the time and mileage is reimbursed at current government rate.

This is a Field-Based Role with a Home-Based Office

If you reside within Salina, KS you will have the flexibility to work in both the field as well as remotely* as you take on some tough challenges.

Primary Responsibilities:

• Assess, plan, and implement care strategies that are individualized by the member 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

• 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

• Participate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe transitions of care

• Understand insurance products, benefits, coverage limitations, insurance, and governmental regulations as it applies to the health plan

• 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

• As needed, help the member engage with mental health and substance use treatment

• Utilize solid 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 in a team and on your own, and ability to manage multiple deadlines

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)

• 1+ years’ experience assisting others with healthcare and/or social determinants of health needs

• Intermediate computer proficiency including MS Word, Excel and Outlook

• Must have resided within the local community for 2+ years

• Familiarity with the resources available in the community

• Ability to travel up to 75% of the time with reliable transportation, with a current and non-restricted state Driver’s License and State-required insurance, to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers' offices

• Must be able to comply with UHG Telecommuting Policy and have a designated workspace inside the home with access to high-speed internet availability

Preferred Qualifications:

• Community Health Worker (CHW) State course completion

• Case management experience

• Experience with arranging community resources

• Experience with electronic charting

• Knowledge and/or experience with behavioral health or substance use disorders

• Background in managing populations with complex medical or behavioral needs

*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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