Field Community Health Worker - Duval, Flagler, St. Johns, Nassau, Volusia Counties, FL

About the position

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.

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 face to face, 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

Requirements

• 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 Office applications
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Ability to travel 25% of the time for the role
• Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area
• Valid US driver's license

Nice-to-haves

• Bachelor's Degree (or higher) in Social Work or related subject
• LPN (Licensed Practical Nurse) Licensure or CNA / HHA
• 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
• Bilingual in Spanish

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.)