UnitedHealth Group Community Health Worker - Grand Junction, CO in Grand Junction, Colorado
Welcome to one of the most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work . SM
As a 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 spend the majority of their time in the community engaging directly with members. Interesting in learning to work with medically complex patients who may be experiencing significant addiction and/or behavioral health conditions is important for this role.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am to 5:00pm. It may be necessary, given the business need, to work occasional overtime. This position is a field-based position with a home-based office. You will work from home when not in the field.
Responsible for: intake/screening/referral, assessment/reassessment, development of support plans, on-going case management, monitoring of the Member’s health and welfare, documentation of contacts and case management activities in the Department-prescribed IMS, resource development, and case closure.
Respect confidentiality and maintain confidences as described in the UHG Employee Handbook and acknowledged through signature by all employees. Maintain confidentiality of patient information. The ability to maintain confidentiality is a critical and essential component of this position.
Contact the Member’s at least once within each quarterly period, or more frequently if warranted by the Member’s condition /or as determined by the rules of the LTSS Program in which the Member’s is enrolled.
Conduct face-to-face contact with the Member’s at least every six (6) months, or more frequently if warranted by the Member’s condition or the rules of the LTSS Program in which the Member is enrolled, and shall update the current approved assessment tool and Support Plan in the appropriate documentation system to reflect any changes in condition or services.
Complete a new assessment during a face-to-face reassessment annually, or more frequently if warranted by the Member’s condition or if required by the rules of the LTSS Program in which the Member is enrolled. Complete additional assessments as needed/required.
Monitor the delivery of services and supports identified within the Support Plan and the Prior Authorization Request (PAR). This includes monitoring:
The quality of services and supports provided
The health and safety of the individual; and
The utilization of services with respect to the Support Plan and the PAR.
The following criteria may be used to determine the Member’s level of need for case management services:
Availability of family, volunteer, or other support
Overall level of functioning
Mental status or cognitive functioning
Duration of disabilities
Whether the individual is in a crisis or acute situation
The individual’s perception of need and dependency on services
The individual’s move to a new housing alternative
Whether the individual was discharged from a hospital or Nursing Facility.
Attend Department provided training for SEP agencies as well as agency provided in-service and staff development training.
Responsible to conduct work that is in accordance with the SEP Contract Agreement’s requirements. This includes but is not limited to, providing work that is accurate, timely, and complete.
May take on special assignments and projects on an as needed basis. Assist with system assessment and development as needed.
This position requires travel. Requires independent, reliable, flexible, and on-demand, transportation at the incumbent’s expense for travel between various locations and timely arrival and departure from various locations. If the employee chooses to satisfy this requirement by driving a vehicle, the employee must meet the requirements for Colorado licensure and company requirements for liability insurance coverage.
Complete all duties in accordance with company safety policies and practices.
Other functions may be assigned and management retains the right to add or change the duties at any time.
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.
Bachelor’s Degree (or higher) in one of the human behavioral science fields such as human services, nursing, social work, psychology, public health, or the combination of education and experience that would enable performance of the full scope of the position OR experience as a caseworker or case manager with LTSS population, in a private or public social service agency
Required to travel up to 50% within the State of Colorado on a daily basis while being exposed to changing weather conditions. Travel will include various locations where timely arrival and departure is important.
Required to work a flexible schedule including before and after core business hours and occasional evenings and weekends as business needs dictate
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role
Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.
Ability to execute regular, reliable, and predictable performance of the essential functions of this job through a consistent ability to be physically and mentally present at the assigned work location, at the prescribed time, with the prescribed tools and with the availability necessary to successfully complete the essential duties described herein.
Ability to handle and manage stress associated with the performance of job duties.
Ability to appropriately interact with, and get along with others including supervisors, coworkers, customers and other stakeholders.
Ability to work collaboratively with others as set forth in the job description.
Ability to accurately and timely follow directions of supervisors.
Ability to perform the essential functions of the job at the assigned primary work location for this job, which is in the employee’s home.
Ability to effectively speak, understand and be understood, and communicate in English.
Ability to hear adequately on the phone, in person and in group settings.
Ability to provide independent, reliable, flexible, and on-demand, transportation at the employee’s expense. If the employee chooses to satisfy this requirement by driving a vehicle, requires ability to meet the requirements for Colorado licensure and company requirements for liability insurance coverage.
Ability to work in front of a computer screen and keyboard, sitting and/or standing up to 8-10 hours per day (possibly longer if required).
Ability to work in home settings that include varying physical, social, and cultural environments.
Ability to work in environments that may have exposure to communicable disease while performing patient care activities.
Ability to see adequately to visually evaluate and assess the member’s or potential member’s physical condition and living environment.
Ability to see computer screen and work papers.
Ability to access, research and interpret information from a variety of media (e.g., computer screen, projected images, printed material) and individuals.)
Ability to work in normal office environment conditions and with various office equipment (e.g., computer, keyboard, mouse, calculator, copier, printer, fax, scanner, telephone).
Ability to move to access various offices and a wide variety of meeting settings.
Ability to perform a variety of tasks that involve standing, walking, sitting, stooping, kneeling, bending and twisting, occasionally climbing stairs or using an elevator, possibly reaching chest high and overhead for materials.
UnitedHealthcare Group is an essential business . The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.
You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html
Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low-income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work. SM
Colorado Residents Only: The hourly range for Colorado residents is $17.12 to $30.34. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.
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.
Keywords: community, behavioral health, SEP, Single Entry Point, support planning, person-centered approach, community health worker, case management, regulatory, LTSS, hiring immediately, #rpo
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