Job Description

Job Description

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

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In this DSNP Community Health Worker position, you will play a critical role as part of an interdisciplinary care team. You will support aligned and unaligned DNSP members by evaluating their needs, supporting them in self-managing their health conditions, and ensuring they have the right services and supports in place to meet their healthcare goals. This will include ongoing collaboration with the members’ interdisciplinary care team, providers, and community-based organizations. Your intervention and advocacy will improve the well-being of individuals, families, and their communities. 

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This is a telecommuter position. Up to 50% of activity may be field-based, engaging members face-to-face in a variety of community settings.

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If you are located in Hawaii and be able to travel about 50% of the time, you will have the flexibility to work remotely* as you take on some tough challenges.

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Primary Responsibilities: 

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• Caseload management of 40+ DSNP aligned and unaligned members
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• Establish contact with members within 30 days of referral, complete an initial Risk Stratification Assessment (RSA) with corresponding Individualized Care Plan (ICP), and engage members every 30 days (at minimum) thereafter for ongoing monitoring
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• Educate members on preventive health care measures and health and wellness information related to disease processes
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• Educate members on appropriate utilization of services based on need (i.e. PCP vs ER)
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• Work with members to develop healthcare goals and identify potential barriers to achieving those goals
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• Assess, plan and implement care strategies that are individualized by members and directed toward the most appropriate, least restrictive level of care
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• Connect with relevant providers, programs and services
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• Utilize motivational interviewing techniques to help members identify and understand their intrinsic goals and motivate members to engage in positive behavior change
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• Communicate with all stakeholders and relay necessary health-related information to ensure quality coordinated care and services are provided expeditiously to all members
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• Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team
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• Use technology to obtain and document health-related information
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• Research member-related health information using internal and external systems (may include medical records systems, claims systems, health information exchange, benefit and eligibility platforms)
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• Participate in projects and initiatives to improve quality measures and member experience
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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: 

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• 2+ years of experience with direct engagement with members either by phone or through a face-to-face visit in a medical, community health, and/or social services setting
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• Experience working with populations with complex medical, behavioral and social needs
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• Experience working independently or as part of an interdisciplinary team and participating with multiple stakeholders to meet member needs and execute member health action plans
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• Familiar with community resources and social service programs
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• Proven skill in developing trust and rapport with individuals who may be disengaged from the health care system
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• Proven skill in performing culturally appropriate engagement with members and developing a person-centered care plan that promotes the members’ individual health care choices.
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• Reside in Hawaii 
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• Willing or ability to travel about 50% of the time in Hawaii
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Preferred Qualifications

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• Case Management experience
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• Experience with or familiarity with discharge planning
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• Experience with electronic charting
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• Experience with coordinating community resources
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• Background in managing populations with complex medical, behavioral and social needs
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• Background in mental health or experience working with serious mental illness
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*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy 

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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 $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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#UHCPJ

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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.

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UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Job Tags

Hourly pay, Minimum wage, Full time, Work experience placement, Local area, Remote work,

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