Field Based Community Health Worker - Cuyahoga County - Cleveland, OH - Full-time / Part-time

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.
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

Required Qualifications:


High School Diploma or GED
1+ years of Telephonic Customer Service experience
1+ years of experience with Medicaid/Medicare, OR 1+ years as a Certified Community Health Worker, OR 1+ years experience working in the community/community programs OR1+ years working as a Case Manager
Knowledge of Medical Terminology
Ability to create, copy, edit, send and save utilizing Word, Excel & Outlook
100% of regional travel to locate members
Preferred Qualifications:

Associate's Degree or Higher
Completion of Community Health Worker Training Program
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.
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.