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. 

The Community Health Worker will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs. 

Working Schedule:Schedule is Monday through Friday standard business work hours 8am to 5pm Central Standard Time.

If you are located within Harris County, Northeast or Central, TX region, you will have the flexibility to telecommute* as you take on some tough challenges.

This role requires some field-based work and home-based office.

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 and referrals provided
• Participate in Interdisciplinary team meetings
• 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
• 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
• 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)
• 3 years of experience working within the community health setting in a health care role
• Familiarity with Microsoft Office, including Word, Excel, and Outlook
• Reliable transportation and the ability to travel in this ‘assigned area’ to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices if field based
• High speed internet in residence

Preferred Qualifications:

• Bachelor's Degree in Social Work, Licensed Practical Nurse (LPN), or CNA/HHA
• Ability to create, edit, save and send documents, spreadsheets and emails
• Reside within commutable distance of assigned duties
• Makes member touchpoints 

*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.

#RPO, #Red