- Locate, outreach, and engage members within the community that clinicians and care navigators have not been able to reach; create a positive experience and relationship with the member.
- Assesses functional and social needs of members and collaborates to develop and implement solutions with the frequency established in the model of care.
- Work collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care.
- Works closely with clinicians to help bridge the gap for these previously un-engaged members and members with whom contact was lost.
- Completely and accurately document in patient's electronic medical record
- Provide patients and family members with education regarding the need for follow up as appropriate during each patient visit.
- Actively participate in organizational quality initiatives
- Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery.
- Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation, and relationships in the care provided to our members.
- High School Diploma / GED or equivalent work experience
- Must be 18 years of age or older.
- Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area, if needed
- Ability to travel up to 10% of the time for field-based work, if needed
- Valid driver's license
- Ability to work full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.
- Experience working with diverse care teams.
- Intermediate level of computer experience with the ability to navigate a Windows environment.
- 3+ years' experience in working with at risk populations.
- Field based experience
- Licensed Practical Nurse (LPN), Certified Nursing Assistant / Home Health Aide, or Medical Assistant
- Bilingual fluency in Spanish and English
- CHW Certification
- Experience working in managed care.
- Knowledge of Medicare/Medicaid population
- Telecommuter/work from home experience
- Reside with the state of South Carolina.
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
- Exhibit independent clinical judgment skills and the ability to consult and engage with other team members for improved patient outcomes.
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Community Health Worker - Greenville, United States - Optum
Description
If you are located within the state of South Carolina, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental, and social needs - helping patients access and navigate care anytime and anywhere.
As a team member of our Optum at Home product, together with an interdisciplinary care team we help patients navigate the health care system and connect them to key support services. This preventive care can help patients stay well at home.
We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while doing your life's best work.
The Community Health Worker in the Optum at Home program acts as a liaison for DSNP and CSNP members to ensure appropriate care is accessed, home and social assessments are completed, resources leveraged, and education provided. They work as part of a care team including a Nurse Practitioner, Case Manager (Behavioral Health Advocate or Registered Nurse), Care Navigator, and other supporting team members. The CHW assesses functional, social, and behavioral needs of members and collaborates to develop and implement solutions through telephonic outreach and consultations, and interdisciplinary team activities.
The CHW's primary role is to re-engage members with the health model, who are historically unable to reach. The CHW provides assessments of social and functional health issues affecting chronically ill and high-risk patients. The CHW works in collaboration with a multidisciplinary team to identify and access services to close care gaps and improve quality of life of OAH members. They help to manage health problems by coordinating health care services for these members in accordance with State and Federal rules and regulations. Ongoing care and management of members is conducted in collaboration with other care team members and includes scheduling of follow up clinician visits with member agreement.
This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.
Training will be conducted virtually from your home and will last about 4 weeks. It will be combined trainer-led and precepting during normal scheduled shift.
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Primary Responsibilities:
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:
Preferred Qualifications:
Telecommuting Requirements:
Soft Skills:
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for 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
Community Health Worker professionals in Greenville
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Marilyn Zuluaga
Bachelor in international Business