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.

The Community Health Worker is responsible for assessment, planning and implementing care strategies that are individualized by patients and directed toward the most appropriate, least restrictive level of care. They also Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services, and manage the care plan throughout the continuum of care as a single point of contact for the member. As a Community Health Worker (CHW), you will act in a liaison role with Medicaid/Medicare members to ensure appropriate care is accessed as well as to provide home and social assessments and member education. The coordinator also addresses social determinants of health such as transportation, housing, and food access.

If you reside within the state of Nebraska, you will enjoy the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

Assess, plan, and implement care strategies that are individualized by members
Create a positive experience and relationship with the members
Utilize both company and community-based resources
Collaborate with members, 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 members and families as needed to ensure the members’ needs are addressed appropriately
Document all member assessments, care plan and referrals provided
You’ll need to be flexible and adaptable in all types of situations
Engage members either face to face or telephonically
Adhere to detailed, specific documentation requirements in the member’s health record
Partner with care team (community, providers, internal staff) \Knowledge and continued learning of community cultures and values\May conduct Health Risk Screener (HRS) as needed
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, working well in a team and on your own, and ability to manage multiple deadlines
Performs other duties as assigned

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
3+ years of experience working within a healthcare role
Intermediate level of computer proficiency including Microsoft Outlook, Teams, Excel, Word, etc. and the ability to use multiple web applications
The ability to travel in assigned regions to visit Medicaid members in their homes and/or other settings, including community centers, hospitals or provider offices not to exceed 25%25 of your time and only during regular business hours.
Must reside in Nebraska
Valid Nebraska driver’s license and current automobile insurance with access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area
Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications:

Experience with Medicaid and Medicare populations
Experience with electronic charting and HIPAA
Experience with arranging community resources
Experience working in Managed Care
Experience in working with homelessness population
Reside within commutable distance of the Omaha and Lincoln metro areas

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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.

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.

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

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UnitedHealth Group

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Community Health Worker - Remote in Nebraska