Community Health Advocate
1 week ago
About the Role:
As a Field Based Community Health Worker with UnitedHealthcare, you will play a vital role in simplifying the healthcare experience for our members. You will be responsible for assessing, planning, and implementing care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care.
Key Responsibilities:
- Assess and identify the needs of our members, including their social determinants of health
- Develop and implement care plans that are tailored to each member's unique needs
- Collaborate with healthcare providers, community organizations, and other stakeholders to ensure seamless care coordination
- Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services
- Communicate with members, families, and healthcare providers to ensure quality coordinated care and services are provided expeditiously
- 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, care plans, and referrals provided
Requirements:
- High School Diploma / GED (or higher) OR 4+ years of equivalent community outreach work experience
- 2+ years of experience working within the Community Health setting in a field-based healthcare role (case management experience)
- 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
- 2+ years of experience of disease management and treatment
- Must reside in Kentucky within a commutable distance to Lexington and surrounding communities
- Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
- Intermediate computer proficiency including MS Word, Excel, and Outlook and be able to use multiple web applications
- Ability to travel locally approximately 50% of the time and up to 100 miles round trip with Reliable transportation
- Current and non-restricted state of Kentucky Driver's License and State-required insurance
- Live in a location that can receive an approved high-speed internet connection or leverage an existing high-speed internet
Preferred Qualifications:
- Bachelor's Degree in a health-related field or social work or Health Care Administration
- 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
- Experience with arranging community resources
- Experience with electronic charting
- Bilingual – Spanish
- Knowledge of Medicaid population
- Experience working in team-based care
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
- Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
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