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Hours Full-time, Part-time
Location Akron, OH
Akron, Ohio

About this job

Position Description: 



 



UnitedHealth Group is working to create the
Healthcare system of tomorrow and you can help. Already Fortune 17, we are
totally focused on innovation and change.  We work a little harder.
We aim a little higher. We expect more from ourselves and each other. And at
the end of the day, we're doing a lot of good.



 



Through our family of businesses and a lot of inspired
individuals, we're building a high-performance Healthcare system that works
better for more people in more ways than ever. Now we're looking to reinforce
our team with people who are decisive, brilliant and built for speed.  Join
with us and start doing your life's best work.SM





UnitedHealthcare
Community & State is part of the family of companies that make UnitedHealth
Group one of the leaders across most major segments of the US health care
system.



If you're ready to help make health care work better for more people, you can
make a historic impact on the future of health care at UnitedHealthcare
Community & State.



We contract with states and other government agencies to provide care for over
two million individuals. Working with physicians and other care providers, we
ensure that our members obtain the care they need with a coordinated approach.



This enables us to break down barriers, which makes health care easier for our
customers to manage. That takes a lot of time. It takes a lot of good ideas.
Most of all - it takes an entire team of talent. Individuals with the tenacity
and the dedication to make things work better for millions of people all over
our country.



You can be a part of this team. You can put your skills and talents to work in
an effort that is seriously shaping the way health care services are delivered.



 



Primary
Responsibilities:




  • Engage members face to face to
    educate about their health

  • Review available member service
    records and relevant documentation (e.g., utilization history, functional
    level, stratification information, current plan of care)

  • Conduct comprehensive
    non-clinical member assessment that includes bio-psychosocial, functional,
    and behavioral health needs

  • Utilize interviewing techniques
    and active listening to collect and retain member information and
    incorporating responses as they are presented to complete assessment

  • Identify member service needs
    related to health concerns

  • Identify urgent member
    situations and escalate to next level when necessary

  • Work with clinical staff to
    engage the member in participating in the assessment process and
    collaboratively developing the plan of care based on the member's
    individual needs, preferences, and objectives.

  • Work with members to identify
    barriers to accessing care and achieving person-centered goals, as well as
    work to close gaps in care.

  • Identify member support systems
    available and incorporate into plan of care

  • Review plan benefits and
    identify appropriate programs and services based on heath needs and benefits

  • Work with clinical staff to
    integrate health care and service needs into a plan / recommendations for
    member care and service. Transfer the member to clinical staff to manage
    clinical needs, as identified.

  • Work collaboratively with the
    interdisciplinary care team to ensure an integrated team approach

  • Collaborate with member to
    create solutions to overcome barriers to achieving healthcare
    goals-Identify relevant community resources available based on member
    needs

  • Refer members to appropriate
    programs and services

  • Facilitate member choice of
    preferred provider

  • Advocate for individuals and
    communities within the health and social service systems;

  • Role assists in coordinating
    health services and does not write care plans

  • Help members connect with
    transportation resources and give appointment reminders in special
    circumstances. Transporting members is strictly prohibited

  • Follow-up with members via
    phone calls, home visits and visits to other settings where members can be
    found

Requirements

Required Qualifications:




  • High School Diploma/GED.

  • Knowledge of Medical
    Terminology.

  • Ability to create, copy, edit,
    send & save utilizing Word, Excel & Outlook.

  • 1+ year Medicaid/Medicare
    experience OR 1+ year as a Certified Community Health Worker OR 1+ year
    experience working in the community/community programs OR 1+ year working
    as a Case Manager.

  • 1+ year Telephonic Customer
    Service.

  • Must have reliable
    transportation, valid state drives license and required insurance.



Preferred
Qualifications:




  • Completion of Community Health
    Worker Training program.

  • Associate's Degree.

  • Previous employment in a
    Medical Office, Hospital or Clinical or other provider environment.

  • Bilingual.

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.SM


Diversity creates a healthier atmosphere: 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.