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.

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. The Field Based Community Health Worker also addresses social determinant of health such as transportation, housing, and food access; link to community supports.

If you reside in Hilo, Hawaii, you’ll enjoy the flexibility to work remotely* as you take on some tough challenges.

Schedule: Monday through Friday, any 8-hour or 10-hour shift to be determined by the hiring manager between the hours of 7:00 am to 6:00 pm Hawaii Standard Time. This position is a field-based position with a home-based office. You will work from home when not in the field.

Location: Hilo and surrounding communities in Hawaii. Local travel up to 75% and mileage is reimbursed at current government rate.

Primary Responsibilities:

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
Collaborate with hospital case managers to decrease ER visits and decrease hospital readmission rate
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
1+ year field-based experience (medical, behavioral, or social work field)
Intermediate computer proficiency including MS Word, Excel and Outlook
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 75% of the time and up to 60 miles round trip with reliable transportation, with a current and non-restricted state of Hawaii Driver’s License and State-required insurance
Reside in Hilo, Hawaii

Preferred Qualifications:

1+ years of knowledge of medical terminology
Background in managing populations with complex medical or behavioral needs
Experience with arranging community resources
Experience with electronic charting
Bilingual – Korean, Tagalog, Chuukese
Knowledge and/or experience with behavioral health or substance use disorders
Previous care management experience

Soft Skills:

Ability to work independently and maintain good judgment and accountability
Demonstrated ability to work well with health care providers
Solid 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

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

The hourly range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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Field Based Community Health Worker - Hilo, HI