Field Based Community Health Worker

UnitedHealth Group - Winchester, VA

Full-time - Entry Level

Onsite - Winchester, VA

Insurance Carriers and Related Activities

About the position

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The Field Based Community Health Worker is responsible for assessment, planning, and implementing care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care. This role involves identifying and initiating referrals for social service programs, including financial, psychosocial, community, and state supportive services, and managing the care plan throughout the continuum of care as a single point of contact for the member. 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. The coordinator also addresses social determinants of health such as transportation, housing, and food access. The working schedule is Monday through Friday between the hours of 8 am to 5 pm, with the possibility of an alternative schedule after 6 months of employment. This position is field-based with a home office setup, allowing you to work from home when not in the field. Local travel is expected up to 50%, and mileage is reimbursed at the current government rate. In this role, you will assess, plan, and implement care strategies tailored to each patient, utilizing both company and community-based resources to establish a safe and effective case management plan. You will collaborate with patients, families, and healthcare providers, advocate for patients and families, and document all member assessments, care plans, and referrals provided. You will engage members face-to-face or telephonically, help them set person-centered SMART goals, and develop care plans to achieve those goals with regular follow-up calls and ongoing documentation of progress. You will also provide member education on community resources and benefits, and utilize strong skills in managing multiple tasks, being self-motivated, and organized.

Responsibilities

• Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, least 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 plans, and referrals provided.
• Engage members either face-to-face or telephonically.
• Help members 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.
• Provide member education on community resources and benefits.
• Utilize strong skill sets of managing multiple tasks at a time, being self-motivated, driven toward quality results, managing time well, being very detail-oriented and organized, work well in a team and on your own, and ability to manage multiple deadlines.

Requirements

• Bachelor's Degree (or higher) in health-related field and/or social work or Active licensed practical nurse (LPN) license.
• 1+ years of field-based experience.
• 1+ years of experience or knowledge of the resources available, culture, and values in the community.
• Intermediate level of computer proficiency (including Microsoft Outlook, Teams) and ability to use multiple web applications.
• Valid Driver's license, current automobile insurance with access to reliable transportation that will enable travel to client and/or patient sites within a designated area.
• Must reside within a commutable distance to Winchester, Front Royal and surrounding communities VA.
• Ability to travel locally, up to 100 miles round trip and up to 50% of the time.
• Access to a designated quiet workspace in your home with the ability to secure Protected Health Information and live in a location that can receive a UnitedHealth Group approved high-speed internet connection.

Nice-to-haves

• Community Health Worker (CHW) Accreditation.
• Experience working in Managed Care.
• Knowledge of Medicaid/Medicare population.

Benefits

• 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.).