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.

This position will be the primary care manager for members with complex medical or behavioral needs who aren’t otherwise managed by the team’s clinicians. The CHW works assertively to locate and engage members in the community. They will develop individualized plans of care that focus on the member’s definition of success. The CHW identifies and overcome barriers to goal achievement, including SDOH barriers. This position will work in collaboration with the interdisciplinary clinical care management team (Pod) to advance interventions aligned with a member’s readiness to change. CHWs will approach their member work with an understanding of how inequities drive health disparities. CHWs will promote health equity.

Working Schedule: Schedule is Monday through Friday 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.

Locations will vary but within the following counties of Florida: Miami-Dade and Monroe

Local travel up to 25% and mileage is reimbursed at current government rate.

Primary Responsibilities:

Partner with clinical care management team to manage complex members in the community
Locate and engage members in the community
Conduct screenings face to face or telephonically, to assess member medical, behavioral, functional, cognitive and psychosocial needs, i.e. health risk assessment
Research, locate and make referrals to community resources to address member specific care or socioeconomic needs. Follow up to confirm services are received
Perform targeted activities and provide education to support HEDIS/STAR gap closure, including scheduling, reminding and verification of appointments to receive specific services
Proactively engage the member to manage their care, provide education and coaching to support self-management of needs and health promotion as outlined in care plan
Partner and collaborate with internal care team, community partners and providers
Consult with clinical team based on defined triggers
Support identification of and coordination to support access of Medicaid benefits to support care needs
Assist member in development of personal wellness plan / health crisis plan

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: http://uhg.hr/uhgbenefits

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)
3+ years of experience working within the Community Health setting in a field-based healthcare role
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
Intermediate level of knowledge of Medicare and Medicaid benefits
Intermediate level of proficiency with Microsoft applications
Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area
Ability to travel 25% of the time for role
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information and 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:

Bachelor's Degree (or higher) in Social Work or related subject
LPN (Licensed Practical Nurse) Licensure or CNA / HHA
Bilingual in [Spanish]
Community Health Worker (CHW) Accreditation
Experience working in team-based care
Experience working in Managed Care
Lived experience (self or family) in managing or overcoming a chronic health, behavioral health or substance use condition

Soft Skills:

Possess a strong work ethic
Ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner
Ability to adapt to change in the workplace
Ability to work independently and as a part of a team
Ability to interact with internal and external customers in a corporate environment
Must possess a positive and motivated attitude
Willingness to adapt to multiple external environments and settings

Physical Requirements and Work Environment

Ability to transition from office to field locations multiple times a day
Must possess transportation to visit clients in various locations
Ability to travel varied distances and multiple terrains to visit assigned client locations
Ability to carry equipment to and from field locations needed for face to face member visits (ex. laptop, stethoscope, blood pressure cuff, etc.)

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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