Job Details

Caring. Connecting. Growing Together.

At UnitedHealthcare, were 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 oftomorrow, making it more responsive, affordable and equitable. Ready to make a difference?

Organize, collect, review and report physical and behavioral health and social information through member home visits and phone outreach, while demonstrating multicultural sensitivity and effective communication skills with Medicaid members. This position follows established safety protocols in the community setting, as well as established preventive and disease management programs for health promotion and education. Deliver culturally appropriate information regarding the availability of health and community resources that will reduce barriers to care.

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

Primary Responsibilities:

• Serve as a consultant to care coordination teams
• Respect confidentiality and maintain confidences as described in the UHG Employee Handbook and acknowledged through signature by all employees. The ability to maintain confidentiality is a critical and essential component of this position
• Participate in interdisciplinary care team meetings as indicated
• Serve as community liaison and maintain relationships with key individuals in the community and serve as an advocate by coordinating linkages or referrals to improve health, social, and environmental conditions for members
• Coordinate and perform duties of communicating the mission and role of the organization to community associations, senior groups, ethnic clubs and groups, and churches
• Serve as the direct personal contact in the community to members who are unable to be reached through phone calls
• Conduct member assessments
• Assess the changing needs and condition of the client and communicate this information to all involved care coordinators, community partners, physician and other appropriate individuals, according to department policies and procedures
• Document assessments, client/family response to care coordination interventions at the time of the encounter. Meet departmental standards and deadlines for timely completion of all required documentation and meet current agency productivity standards
• Educate and assist identified members about behaviors that can enhance their health, successfully navigating the health system
• Facilitate access to preventive and disease management health services
• Manage difficult to reach and non-compliant members
• Develop a plan of management associated with health care goals for each member addressing the diverse needs in a culturally appropriate way
• Develop and maintain a report system for outcomes
• Communicate member issues requiring interventions to appropriate departments and providers
• Maintains confidentiality and uses only the minimum amount of protected health information (PHI) necessary to accomplish job related responsibilities. Maintain confidentiality of patient information
• Participate in staff meetings, case conferences and in-services. Maintain familiarity with all policies and procedures that impact decisions and care
• This position requires travel. Requires independent, reliable, flexible, and on-demand, transportation at the incumbents 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

Youll 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:

• Must possess one of the following:
• Bachelors degree in a human services field such as social work, social sciences, counseling, child, family and community services, early childhood development, guidance and counseling, home economics child family services, human development counseling, human service administration, human services, pastoral care, pastoral counseling, psychology, public administration, rehabilitation, social services or sociology
• Fellow designation from the academy of healthcare management (AHM)
• 4+ years of case management experience
• 2+ years of progressive related experience working with diverse populations, community or faith based organizations
• Knowledge of health education, motivational strategies, and an empathetic manner working with the underserved
• Drivers license and access to a reliable transportation
• Resident of Colorado

Preferred Qualifications:

• Health care setting experience
• Knowledge of healthcare business
• Knowledge of local area
• Bilingual in English and/or Spanish

All employees working remotely will be required to adhere to UnitedHealth Groups telecommuter policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.