United Healthcare
Full-time $20 to $38 per hour
CCHW & Bilingual Preferred
50% Local Travel
The Field Based Community Health Worker is responsible for assessment, planning and implementing care strategies that are individualized by patient 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 Field Based 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. The coordinator also addresses social determinant of health such as transportation, housing, and food access.
If you live in the state of Rhode Island, you’ll enjoy the flexibility to telecommute* as you take on some tough challenges.
Working Schedule: Monday through Friday any 8-hour shift to be determined by the hiring manager between the hours of 7 am to 6pm. This position is a field-based position with a home-based office. You will work from home when not in the field.
Location: State of Rhode Island
Local travel up to 50% and mileage is reimbursed at current government rate.
Primary Responsibilities:
- Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care
- Utilize both company and community-based resources to establish a safe and effective case management plan for members
- Collaborate with patient, 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 patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the healthcare team
- Document all member assessments, care plan and referrals provided
- Accountable to understand role and how it affects utilization management benchmarks and quality outcomes
- You’ll need to be flexible, adaptable and, above all, patient in all types of situations
- Engage members either face to face, telephonically or virtually
- Work with Medicaid/Medicare population to address gaps in care, social determinates of health, and disease management
- Help member set person-centered SMART goals and develop a care plan to achieve those goals with regular follow up calls and ongoing documentation of progress towards goals met
- Adhere to detailed, specific documentation requirements in the member’s health record
- Proactively engage the member to manage their own health and healthcare using Motivational Interviewing Skills
- As needed, help the member engage with mental health and substance use treatment
- 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, work well in a team and on your own, and ability to manage multiple deadlines
- Perform other duties as assigned
Required Qualifications:
- High School Diploma / GED (or higher) OR 5+ years of equivalent community outreach work experience
- 1+ years of experience with/of knowledge of the resources available, culture, and values in the community
- Intermediate level of computer proficiency including the use of MS Word, Excel, Outlook, and multiple applications, with the ability to learn new and sometimes complex programs
- Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
- Ability to travel locally approximately 50% of the time and up to 50 miles round trip with reliable transportation, that will enable you to travel to client and/or patient sites within a designated area
- A current and non-restricted state of Rhode Island Driver’s License and State-required insurance
- Must have resided in Rhode Island or neighboring towns to the state of Rhode Island for 2+ years
Preferred Qualifications:
- Bachelor’s Degree in a health-related field or social work or Health Care Administration
- Community Health Worker (CHW) Accreditation
- 1+ years of field-based experience
- Experience working in Managed Care
- Experience with electronic charting
- Knowledge of Medicaid/Medicare population
- Fluency in Spanish and English or Portuguese and English
Soft Skills:
- Strong communication and customer service skills both in person and via phone
- Ability to work independently and maintain good judgment and accountability
- Demonstrated ability to work well with others
- Strong organizational and time management skills
- Ability to multi-task and prioritize tasks to meet all deadlines
- Ability to work well under pressure in a fast-paced environment
- Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
- Solves routine problems on own. – Works with supervisor to solve more complex problems
- Prioritizes and organizes own work to meet agreed upon deadlines
- Works with others as part of a team
