Remote Hybrid Community Health Worker LPN – Hillsborough & Surrounding Counties

UnitedHealthcare

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Requisition Number: 2185535
Job Category: Medical & Clinical Operations
Primary Location: Tampa, FL
(Remote considered)

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. 

Field Based Community Health Worker position will be the primary care manager for members with complex medical or behavioral needs who aren’t otherwise managed by the team’s clinicians.  The Field Based Community Health Worker works assertively to locate and engage members in the community.  They will develop individualized plans of care that focus on the member’s definition of success.  The Field Based Community Health Worker identifies and overcome barriers to goal achievement, including SDOH barriers.  This position will work in collaboration with the interdisciplinary clinical care management team (Pod) to advance interventions aligned with a member’s readiness to change. Field Based Community Health Worker will approach their member work with an understanding of how inequities drive health disparities.  Field Based Community Health Worker will promote health equity.

Working Schedule: Monday through Friday 9am – 5pm EST. This position is a field-based position with a home-based office. You will work from home when not in the field.

Local travel up to 60% and mileage is reimbursed at current government rate.

If you are located in the state of Florida, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

  • Partner with clinical care management team to manage complex members in the community
  • Locate and engage members in the community
  • Conduct screenings face to face or telephonically, to assess member medical, behavioral, functional, cognitive and psychosocial needs, i.e. health risk assessment
  • Engage members either face to face or over the phone to educate about their health
  • Review available member service records and relevant documentation (e.g., utilization history, functional level, stratification information, current plan of care)
  • Conduct comprehensive member assessment that includes bio-psychosocial, functional, and behavioral health needs
  • Utilize interviewing techniques and active listening to collect and retain member information and incorporating responses as they are presented to complete assessment
  • Identify when supplemental assessments are needed and conduct supplemental assessments
  • Identify member service needs related to health concerns
  • Identify urgent member situations and escalate to next level when necessary
  • Engage member to participate in the assessment process and collaboratively develop plan of care based on their individual needs, preferences, and objectives with nursing oversight
  • Work with members to develop healthcare goals and identify potential barriers to achieving healthcare goals
  • Identify member support systems available and incorporate into plan of care
  • Review plan benefits and identify appropriate programs and services based on heath needs and benefits
  • Integrate health care and service needs into a plan or recommendation for member care and service
  • Work collaboratively with the interdisciplinary care team to ensure an integrated team approach
  • Collaborate with member to create solutions to overcome barriers to achieving healthcare goals
  • Identify relevant community resources available based on member needs
  • Refer members to appropriate programs and services
  • Facilitate member choice of preferred provider
  • Provide informal counseling and social support resources
  • Advocate for individuals and communities within the health and social service systems
  • Moderate work experience within own function
  • Some work is completed without established procedures
  • Basic tasks are completed without review by others
  • Supervision/guidance is required for higher level tasks
  • 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 or higher OR 5+ years of equivalent community outreach work experience
  • 3+ years field-based experience (medical, behavioral, or social work field)
  • 2+ years of experience working within the local community, with demonstrated knowledge of culture and values within the community and familiarity with the resources available within the community
  • 1+ years of experience understanding and demonstrating knowledge of Medicare and Medicaid benefits
  • Intermediate computer proficiency including MS Word, Excel and Outlook using multiple web applications
  • Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
  • Reside within a commutable distance from Hardee, Highlands, Hillsborough, Manatee, or Polk
  • Ability to travel locally approximately 60% of the time and up to 60 miles round trip with reliable transportation, with a current and non-restricted state of Florida driver’s license and state-required insurance that will enable you to travel to client and / or patient sites within a designated area

Preferred Qualifications:

  • Bachelor’s Degree in a health-related field or social work
  • LPN (Licensed Practical Nurse) licensure
  • Community Health Worker (CHW) Accreditation
  • Experience working in team-based care
  • Experience with electronic charting
  • Care management experience
  • Knowledge and/or experience with behavioral health or substance use disorders
  • Background in managing populations with complex medical or behavioral needs
  • Bilingual in (Spanish)

Soft Skills: 

  • Proven ability to work independently and maintain good judgment and accountability and as a part of a team
  • Proven ability to multi-task and prioritize tasks to meet all deadlines and adapt to change in the workplace
  • Proven ability to work well under pressure in a fast-paced environment
  • Proven ability to interact with internal and external customers in a corporate environment
  • Proven positive and motivated attitude
  • Proven 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
  • Demonstrated ability to work well with health care providers
  • Demonstrated solid organizational and time management skills

If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy