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.

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.

CHW's work in a team - based structure and spend most of their time in the community engaging directly with members. Interesting in learning to work with medically complex patients who may be experiencing significant addiction and / or behavioral health conditions is important for this role.

This position is full - time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8 - hour shift schedules during our normal business hours of 8am to 5pm.

It may be necessary, given the business need, to work occasional overtime. This position is a field - based position with a home - based office.

You will work from home when not in the field.

If you are located in Ohio, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities :

• Create a positive experience and relationship with the member
• Help member set goals and develop a care plan to achieve those goals
• Proactively engage the member to manage their own health and healthcare
• Support the member to improve their wellbeing by staying out of the hospital, and attend regular visits to their primary physician
• As needed, help the member engage with mental health and substance use treatment
• Support the member to ensure pick-up of their prescriptions
• Provide member education on community resources and benefits
• Conduct post discharge activities from hospital facility and support connection to social services
• Support member to engage in work or volunteer activities, if desired, and develop stronger social supports through deeper connections with friends, family, and their community
• Partner with care team (community, providers, internal staff)
• Knowledge and continued learning of community cultures and values
• May conduct Health Risk Assessments (HRA) if needed

Required Qualifications :

• High School diploma / GED
• Proven knowledge of culture and values of the community
• Proven familiarity with the resources available in the community
• Ability to navigate a PC to open applications, send emails, and conduct data entry
• Designated workspace inside the home with access to high - speed internet availability (Provided by UHG)
• Ability to travel locally up to 70% of the time

Preferred Qualifications :

• Licensed Practical Nurse (LPN), Certified Nursing Assistant / Home Health Aide, Certified Medical Assistant
• CHW Accreditation
• 2 years of field - based experience
• 2 years of working in a case management role
• Care management experience
• Experience working in Managed Care
• Knowledge and / or experience with behavioral health or substance use disorders
• Knowledge of Medicaid and / or Medicare population
• All employees working remotely 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.

Last updated : 2024-04-27