Community Health Worker - Openings in multiple cities
Duration: 6-month Contract, possible extensions or permanent hire
Start Date: ASAP
Travel within your city is required; mileage reimbursed - remote work when not in the field.
The Community Health Worker (CHW) position will actively engage health plan members
and clinical contacts to increase their engagement with and increase their utilization of
their health plan benefits and offerings. The CHW is expected to serve as a field-based
resource, meeting with members in direct outreach in their homes and communities and
representing the organization in a positive and professional manner.
Primary Responsibilities:
- Engage members at their residential homes, senior living apartments or within assisted living communities
- Provide member education regarding programs and their benefit plan offerings
- Engage members to schedule their annual Optum at Home APC visit, as well as appointments with other clinicians, care team members, and/or programs based on member need
- Build member trust and foster their relationship with Optum health care providers
- Actively engage with the member to remove any obstacles hindering or preventing them from utilizing their health plan benefits
- Proactively address any challenges the member may encounter in the future to improve their experience and increase their utilization of benefits and provider engagement, escalate concerns and barriers as appropriate in support of the member
- Attempt to complete members’ Health Risk Assessment, Social Determinants of Health assessment, identify other health plan needs and provide community resources
- Complete the Bone density screening-Osteoporosis Management in Women who had a fracture (OMW) for members as appropriate
- Utilize internal electronic medical record system to document member engagement attempts and ensure improved coding accuracy
- Plan routes for best time management of schedule and travel time/distance to optimize engagement of identified members
- Utilize scheduling tools to schedule members for various types of visits; ultimately resulting in an increased Stars gap closure and reducing medical expenses
Required Qualifications:
- High School Diploma / GED (or higher)
- 3+ years of experience working within a community health setting or community outreach experience
- Ability to work with individuals and/or a team with diverse backgrounds and experiences
- Able to exhibit good judgement for improved patient outcomes with the ability to consult leadership and escalate as appropriate
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
- Intermediate level of computer experience with the ability to navigate a Windows environment
- Access to reliable transportation enabling you to travel to member homes and communities within a designated area
- Ability to travel for field-based work, valid driver’s license
- Must be able to plan routes for best time management of schedule and travel time/distance
- Ability to have flexibility with scheduled hours based on member’s availability and/or needs
Preferred Qualifications:
- 3+ years' experience working with vulnerable populations
- Experience working in sales
- Licensed Practical Nurse (LPN), Certified Nursing Assistant / Home Health Aide, or
- Medical Assistant
- Bilingual fluency in Spanish and English
- CHW Certification
- Experience working in a managed care organization
- Knowledge of Medicare/Medicaid population
- Telecommuter/work from home experience
Job Types: Full-time, Contract
Pay: $20.00 - $25.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Mileage reimbursement
- Vision insurance
Application Question(s):
- This role requires traveling to member's homes in the community. Have you held a role in the past that required going into homes and/or going to door?
- Describe any past experience you've had with Medicare or Medicaid.
- Describe any experience you've had with sales (this is not a sales role but requires similar skills).
- Do you have reliable transportation to commute around your city?
Education:
- High school or equivalent (Required)
Experience:
- healthcare: 2 years (Preferred)
Language:
- a second language (Preferred)
Work Location: On the road
