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in Hilo, HI

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Hours Full-time, Part-time
Location Hilo, HI
Hilo, Hawaii

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




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 when supplemental assessments are needed and conduct
    supplemental assessments
  • Identify member service needs related to health concerns
  • Identify urgent member situations and escalate to next level when
    necessary
  • Engage member to participate in the assessment process and
    collaboratively develop plan of care based on their individual needs,
    preferences, and objectives with nursing oversight
  • Work with members to develop healthcare goals and identify potential
    barriers to achieving healthcare goals
  • 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
  • Integrate health care and service needs into a plan or recommendation
    for member care and service
  • 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
  • Provide informal counseling and social support resources
  • 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.
  • 1+ year knowledge of Medical Terminology.
  • Ability
    to create, copy, edit, send & save utilizing Word, Excel & Outlook.
  • 1+ year Medicaid experience.
  • 1+ year experience working in the community/community programs or working
    as a Case Manager.
  • Must
    have reliable transportation, valid state drives license and required insurance.
Preferred Qualifications: 
  • HI
    Medicaid – rules and regulations.
  • Bachelor's Degree.
  • Medicare.
  • Previous
    employment in a Medical Office, Hospital or Clinical or other provider
    environment.








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.