Field Based Community Health Worker

5 days ago


Dodge City, Kansas, United States UnitedHealthcare Full time
Job Title: Field Based Community Health Worker

At UnitedHealthcare, we're simplifying the healthcare 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 healthcare system of tomorrow, making it more responsive, affordable, and equitable.

Job Summary:

We're seeking a Field Based Community Health Worker to join our team. As a Field Based Community Health Worker, you will act in a liaison role with Medicaid members to ensure appropriate care is accessed, as well as providing community resources and benefit education.

Responsibilities:
  • Assess, plan, and implement care strategies that are individualized by the member 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 plan, and referrals provided
  • Participate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe transitions of care
  • 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
Requirements:
  • High School Diploma / GED (or higher)
  • 1+ years of experience assisting others with healthcare and/or social determinants of health needs
  • Intermediate level of computer proficiency including MS Word, Excel, and Outlook
  • Must have resided within the local community for 2+ years
  • Familiarity with the resources available in the community
  • Current, non-restricted state of Kansas drivers license and state-required insurance
  • Access to reliable transportation and the ability to travel up to 75% of the time to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, or providers' offices


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