Community Health Worker

UnitedHealth Group - Plantation, FL

Full-time - Entry Level

Remote - Plantation, FL

Insurance Carriers and Related Activities

About the position

The Community Health Worker position at UnitedHealthcare serves as the primary care manager for members with complex medical or behavioral needs. This role focuses on engaging members in the community, developing individualized care plans, and addressing barriers to health equity. The Community Health Worker collaborates with an interdisciplinary clinical care management team to implement interventions that align with members' readiness to change, ultimately promoting health equity and improving health outcomes.

Responsibilities

• Partner with clinical care management team to manage complex members in the community
• Locate and engage members in the community
• Conduct screenings telephonically or virtually to assess member needs
• Engage members over the phone to educate about their health
• Review available member service records and relevant documentation
• Conduct comprehensive member assessments including bio-psychosocial, functional, and behavioral health needs
• Utilize interviewing techniques and active listening to collect member information
• Identify when supplemental assessments are needed and conduct them
• Identify member service needs related to health concerns
• Identify urgent member situations and escalate when necessary
• Engage members to participate in the assessment process and collaboratively develop care plans
• Work with members to develop healthcare goals and identify barriers to achieving them
• Identify member support systems and incorporate them into care plans
• Review plan benefits and identify appropriate programs and services
• Integrate healthcare and service needs into a plan for member care
• Collaborate with the interdisciplinary care team for an integrated approach
• Create solutions with members to overcome barriers to healthcare goals
• Identify relevant community resources based on member needs
• Refer members to appropriate programs and services
• Facilitate member choice of preferred provider
• Provide informal counseling and social support resources
• Advocate for individuals and communities within health and social service systems
• Perform other duties as assigned

Requirements

• High School Diploma/GED (or higher)
• 4+ years of relevant clinical work experience
• 3+ years of experience managing needs of complex populations (e.g. Medicare, Medicaid)
• 1+ years of community case management experience coordinating care for individuals with complex needs
• Reside in the state of Florida

Nice-to-haves

• 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

Benefits

• Paid Time Off which accrues with the first pay period plus 8 Paid Holidays
• Medical Plan options with Health Spending Account or Health Saving Account
• Dental, Vision, Life & AD&D Insurance, Short-term 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.)