Field Based Community Health Worker

UnitedHealth Group; El Paso (TX); On-site; USD 57,308,000 - 103,155,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan options

Dental, Vision, Life & AD&D Insurance

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Referral Bonus Program

Job summary

UnitedHealth Group in El Paso, TX is seeking a Field Based Community Health Worker to connect Medicaid members with home and social resources and education. The role focuses on addressing social determinants of health such as transportation, housing, and food access, and coordinates care with a multidisciplinary team.

Responsibilities include assessing member needs, developing individualized care plans, initiating referrals to social services, and advocating for patients.

Qualifications

• High School Diploma or GED required.
• Direct experience with ABD/SSI populations in 3 of 5 years.
• 4+ years in community health settings.
• 1+ year experience with Word, Excel, Outlook for data entry.
• Experience in long-term care, home health, hospice, or related.
• 1+ year experience with electronic charting.
• Knowledge of local community resources and culture.
• Bilingual English/Spanish required; on-site in El Paso.
• Ability to meet the posted schedule.

Responsibilities

• Assess, plan, and implement care strategies for each member toward appropriate care level.
• Utilize resources to establish a safe, effective care plan.
• Collaborate with member, family, and healthcare providers to develop plan.
• Identify and initiate referrals for social service programs.
• Manage care plan as single point of contact.
• Communicate health information to stakeholders to ensure coordinated care.
• Advocate for patients to reflect needs and choices.
• Understand insurance products and regulations as they apply to the health plan.
• Monitor services for timeliness and satisfaction.
• Report medically complex cases as needed.
• Provide administrative support for care coordination levels 1 and 2.

Skills

Bilingual English/Spanish

Organizational skills

Time management

Verbal and written communication

Independent work capability

Education

High School Diploma/GED

Community Health Worker Certification (preferred)

Tools

Microsoft Word

Excel

Outlook

Job description

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. Join us and start doingyour life's best work.(sm)

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 aField Based Community Health Worker (CHW), you will act with Medicaidmembers 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 8:00 am - 6:00 pm Mountain Standard time.The schedule will be determined by the manager upon hire.

Location: 1145 Westmoreland Drive El Paso, TX 79925

Primary Responsibilities:

• Assess, plan, and implement care strategies that are individualized for each member and directed toward the most appropriate, lease restrictive level of care
• Utilize both company and community-based resources to establish a safe and effective case management plan for members
• Collaborate with member, family, and healthcare providers to develop an individualized plan of care
• Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services
• Manage care plan throughout the continuum of care as a single point of contact
• 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
• Understand insurance products, benefits, coverage limitations, insurance, and governmental regulations as it applies to the health plan
• Monitor services being delivered to ensure timeliness, appropriateness, and satisfaction in meeting Member needs
• Reports medically complex cases to appropriate roles as necessary for review and problem solving
• Provides administrative support for care coordination Level 1 and Level 2 Service
• Coordinators as identified
• Coordinates care and efficient utilization of health care resources for patients identified in the Starplus program through communication with other members of the health care team, including physician offices, social workers, nurses, and other multidisciplinary team members asappropriate to obtain optimal outcomes for members
• Refers member to disease management team
• Maintains status on telephonic Service Coordination phone calls from the members and/or LARs to meet regulatory requirements
• Ensure thorough knowledge of the Star+Plus contract and meet all Service Coordination contract requirements
• 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.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
• Direct experience with the ABD/SSI population in 3 of the last 5 years.
• 4+ years of experience working within the community health setting in a health care role
• 1+ years of experience working with Microsoft Word, Excel, and Outlook to Data entry and Word processing skills
• 1+ years of experience in long-term care, home health, hospice, public health or assisted living
• 1+ years of experience in electronic charting
• 1+ years of experience knowledge of the resources available, culture, and values in the community
• Bilingual fluency in English and Spanish
• Must be willing to work on-site at the following location: 1145 Westmoreland Dr. El Paso, TX 79925
• Must reside in El Paso, TX
• Ability to work schedule listed in the posting

Preferred Qualifications:

• 2+ years of field-based experience
• 1+ year of experience with knowledge of the resources available, culture, and values in the community
• Experience working in Managed Care, Behavioral Health, and Substance Abuse
• Experience in women's and or pediatric health care setting
• Knowledge of TX Medicaid
• Ability to obtain a Community Health Worker Certification within 6 months of being hired or a current Community Health Worker Certification

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 $20.00 to $36.00 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.