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Hours Full-time, Part-time
Location Youngstown, OH
Youngstown, 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.