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Identify and initiate referrals for social service programs to address social determinants of health for Medicaid members. Assess and implement individualized care strategies while coordinating with healthcare providers and families to ensure quality care.
Requirements summary
Requires a High School Diploma/GED, bilingual proficiency in Spanish and English, and at least 2 years of field-based experience. Must reside in Miami-Dade County and possess a valid Florida Driver's License with reliable transportation.
high schoolCase ManagementTime ManagementPatient AdvocacyCare PlanningDocumentationOrganizationInterpersonal CommunicationCrisis InterventionMotivational InterviewingMS ExcelMS WordBilingual SpanishMS OutlookMember EducationSocial Service ReferralsSMART Goal Setting
Job description
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.
The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.
Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities.
Come make an impact on the communities we serve as you help us advance health optimization on a global scale.
Join us to start Caring.
Connecting.
Growing together.
The Field Based Community Health Worker is responsible for identifying and initiating referrals for social service programs, including financial, psychosocial, community and state supportive services.
As a Field Based Community Health Worker (CHW), you will act with Medicaid members to ensure to provide home and social resources and member resource education.
The Field Based Community Health Worker also addresses social determinants of health such as transportation, housing, and food access.
Together, we're removing the barriers that keep people from receiving the kind of quality healthcare that makes a difference.
We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well - being.
Working Schedule: This position is full time, 40-hour work week, Monday – Friday between the hours of 8:30am – 5:00 pm Eastern Standard time.
The schedule will be determined by the manager upon hire.
This position is a field-based position with a home-based office.
You will work from home when not in the field.
Location
Miami, FL and surrounding communities with local travel up to 25%25 and mileage is reimbursed at current government rate.
Primary
Responsibilities: Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, level of care Utilize both company and community-based resources to establish a safe and effective case management plan for members Collaborate with patient, family, and healthcare providers Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare team Document all member assessments, care plan and referrals provided. Accountable to understand role and how it affects utilization management benchmarks and quality outcomes You’ll need to be flexible, adaptable and, above all, patient in all types of situations. Engage members either face to face or telephonically Help member set person-centered SMART goals and develop a care plan to achieve those goals with regular follow up calls and ongoing documentation of progress towards goals met Adhere to detailed, specific documentation requirements in the member’s health record Proactively engage the member to manage their own health and healthcare using Motivational Interviewing Skills Provide member education on community resources and benefits Utilize strong skill sets of managing multiple tasks at a time, being self-motivated, driven toward quality results, managing time well, being very detailed oriented and organized, work well in a team and on your own, and ability to manage multiple deadlines. Conduct post discharge activities from hospital facility and support connection to social services in conjunction with Peer Support where applicable Performs other duties as assigned What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success.
Benefits
Dental Insurance
Employee Assistance Program
Life Insurance
Paid Holidays
Paid Time Off
Vision Insurance
Employee Referral Bonus Program
Long-Term Disability
AD&D Insurance
Employee Discounts
Short-term Disability
Pet Insurance
Legal Insurance
Education Reimbursement
Employee Stock Purchase Plan
Health Saving Account
401(k) Savings Plan
Medical Plan
Health Spending Account
LTC Insurance
Some of our offerings include: Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications
High School Diploma / GED 2+ years of field-based experience 1+ year of experience with knowledge of the resources available, culture, and values in the community Must reside within a commutable distance to Miami, and surrounding communities in Miami, FL (must reside in Miami Dade County) Bilingual in Spanish and English Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI) 1+ year of computer proficiency experience including MS Word, Excel and Outlook Ability to travel locally approximately 25%25 of the time up to 100 miles round trip with Reliable transportation, that will enable you to travel to client and/or patient sites within a designated area, with a current and non-restricted state of Florida Driver’s License and State-required insurance
Preferred Qualifications
Knowledge and/or experience with behavioral health or substance use disorders Care management experience CHW Accreditation Experience working in Managed Care Knowledge of Medicaid and/or Medicare population Knowledge of culture and values of community Familiarity with the resources available in the community Soft Skills: Ability to work independently and maintain good judgment and accountability Demonstrated ability to work well with health care providers 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 Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20 to $36 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. 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. #RPO, #RED
