United Healthcare Nursing Jobs – Community Health Worker

Job Description:

As a Hybrid (Telephonic and Field) Community Health Worker (CHW), you will act in a liaison role with Medicaid members to ensure appropriate care is accessed as well as to provide home and social assessments and member education. CHW’s work in a team-based structure and have the flexibility to work with members telephonically and in the community to engage directly with members. Interest in learning to work with medically complex patients who may be experiencing significant addiction and/or behavioral health conditions is important for this role.

Job Responsibilities:

• Support member to engage in work or volunteer activities, if desired, and develop stronger social supports through deeper connections with friends, family, and their community
• Support the member to improve their wellbeing by staying out of the hospital, and attend regular visits to their primary physician
• Conduct post discharge activities from hospital facility and support connection to social services
• Provide member education on community resources and benefits
• Partner with care team (community, providers, internal staff)
• Create a positive experience and relationship with the member
• Proactively engage the member to manage their own health and healthcare
• Support the member to ensure pick-up of their prescriptions
• As needed, help the member engage with mental health and substance use treatment
• Knowledge and continued learning of community cultures and values
• May conduct Health Risk Assessments (HRA) if needed
• Help member set goals and develop a care plan to achieve those goals

Job Requirements:

• Knowledge of Medicaid and/or Medicare population
• Familiarity with the resources available in the community
• Resided in the local community
• Full COVID-19 vaccination is an essential job function of this role.
• Knowledge of culture and values of community
• Ability to comply with UHG Telecommuting Policy and have a designated workspace inside the home with access to high-speed internet availability
• Reliable transportation and the ability to travel locally, up to 50% of the time

Qualification & Experience:

• Experience working in Managed Care
• Licensed Practical Nurse (LPN), Certified Nursing Assistant/Home Health Aide, Certified Medical Assistant, CHW Accreditation
• High School Diploma / GED (or higher)
• Care management experience
• Bachelor’s Degree (or higher) in a health-related field
• Knowledge and/or experience with behavioral health or substance use disorders
• Field based experience

Job Details:

Company: United HealthCare

Vacancy Type: Full Time

Job Location: Waltham, MA, US

Application Deadline: N/A

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