Community Health Worker - Wichita, KS and surrounding areas

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.

In this Community Health Worker role, will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs.

If you are in or near Wichita, KS and surrounding areas you will have the flexibility to telecommute as you take on some tough challenges. Expect to spend about 20% of your time in the field visiting our members in their homes or in long-term care facilities, within assigned territory.

Primary Responsibilities:

• Complete contractual requirements for UTR members for Initial, Annual, 6mo, and Post Hospital Assessments ensuring UTR member receive timely contact and prevent liquidated damages due to late contacts for no response. Complete cold-knock activities for UTR member who have not responded to other attempts
• Complete 14- and 30-day follow-up contacts for members discharged from Hospitalization, ensuring member's needs are met and supports are in place for member to remain in the community
• Obtain contractually required member signatures for Service Plan, Participant Interest Inventory, Authorized Rep, Designated Rep, and other required forms if the CC is not able to successfully obtain and/or has confirmed agreement from member/legal representative to utilize DocuSign
• Obtain contractually required Physician/RN statement and signature from PCP/RN allowing members to self-direct health maintenance activities
• Locate resources that impact the member's medical needs such as SDOH resources (transportation, food, clothing, housing), identifying providers with capacity for new members, locating community resources and financial support for equipment, safety items (e.g. smoke detector), etc. Fulfilling SDOH impacts the member's ability to remain in the community and prevents higher level of care placement
• Search for agency-direct caregiver to support the member's needs and fulfill the member's service hours
• Monitor members in the closure process and escalate closures to the State to ensure timely closing of identified members
• Obtain TBI therapy notes from agencies for all new and existing BI waiver members

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 (or higher)
• 2+ years of experience working within the community health setting or in a health care role
• Resided within the local community for 2+ years
• Familiarity with the resources available in the community
• Field based experience assisting others with healthcare and/or social determinants of health needs
• Have a designated workspace inside the home with access to high-speed internet availability
• Access to reliable transportation that will enable you to travel in an assigned region to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers' offices

Preferred Qualifications:

• Licensed Practical Nurse (LPN), Certified Nursing Assistant/Home Health Aide, Certified Medical Assistant
• CHW Accreditation
• Field-based experience
• Case management experience

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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, #Green