Community Health Worker

2 weeks ago

Grand Rapids, Michigan, United States UnitedHealthcare Full time
About the Role

As a Field Based Community Health Worker at UnitedHealthcare, you will play a vital role in simplifying the healthcare experience for millions of people. Your work will impact the lives of individuals and families, helping them access quality care and navigate the complexities of the healthcare system.

Key Responsibilities
  • Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate level of care.
  • Utilize company and community-based resources to establish a safe and effective case management plan for members.
  • Collaborate with members, families, and healthcare providers to ensure seamless care coordination.
  • Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services.
  • Keep members out of the hospital by supporting regular visits to their primary care physician and ensuring they receive necessary care and services.
  • Communicate with stakeholders to ensure quality coordinated care and services are provided expeditiously to all members.
  • Advocate for members and families as needed to ensure their needs and choices are fully represented and supported by the healthcare team.
  • Document all member assessments and referrals provided.
Requirements
  • High School Diploma / GED (or higher) OR 5+ years of community outreach experience.
  • 2+ years of community outreach/field experience in a healthcare setting.
  • 2+ years of experience with knowledge of the resources available, culture, and values in the community.
  • 1+ years of experience with electronic charting.
  • Intermediate level of computer proficiency including MS Word, Excel, and Outlook.
  • Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI).
  • Valid state driver's license with state required insurance and access to reliable transportation.
Preferred Qualifications
  • Ability to work within a matrix environment where team members are engaged in the success of the team as indirect reports but have a direct reporting relationship to others.
  • Community Health Worker (CHW) State course completion.
  • Licensed Practical Nurse (LPN), Certified Nursing Assistant/Home Health Aide, Certified Medical Assistant.
  • Background in managing populations with complex medical and behavioral needs.
  • Knowledge of Medicaid population.
  • Work at home experience.
Soft Skills
  • Strong communication and customer service skills both in person and via phone.
  • Ability to work independently and maintain good judgment and accountability.
  • Demonstrated ability to work well with others.
  • Strong organizational and time management skills.
  • Ability to multi-task and prioritize tasks to meet all deadlines.
  • Ability to work well under pressure in a fast-paced environment.

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