Job Description

Job Description

Position: Community Health Worker

Location: Tulsa, OK (1) & Oklahoma City, OK (1)

Duration: 6-month Contract

Start Date: ASAP

The Community Health Worker (CHW) position will actively engage health plan members

and clinical contacts to increase their engagement with and increase their utilization of

their health plan benefits and offerings. The CHW is expected to serve as a field-based

resource, meeting with members in direct outreach in their homes and communities and

representing the organization in a positive and professional manner.

Primary Responsibilities

· Engage members at their residential homes, senior living apartments or within

assisted living communities

· Provide member education regarding programs and their benefit plan offerings

· Engage members to schedule their annual Optum at Home APC visit, as well as

appointments with other clinicians, care team members, and/or programs based on

member need

· Build member trust and foster their relationship with Optum health care providers

· Actively engage with the member to remove any obstacles hindering or preventing

· hem from utilizing their health plan benefits

· Proactively address any challenges the member may encounter in the future to

improve their experience and increase their utilization of benefits and provider

engagement, escalate concerns and barriers as appropriate in support of the member

· Attempt to complete members’ Health Risk Assessment, Social Determinants of

· Health assessment, identify other health plan needs and provide community

resources

· Complete the Bone density screening-Osteoporosis Management in Women who had

a fracture (OMW) for members as appropriate

· Utilize internal electronic medical record system to document member engagement

attempts and ensure improved coding accuracy

· Plan routes for best time management of schedule and travel time/distance to

optimize engagement of identified members

· Utilize scheduling tools to schedule members for various types of visits; ultimately

resulting in an increased Stars gap closure and reducing medical expenses

Required Qualifications

• High School Diploma / GED (or higher)

• 3+ years of experience working within a community health setting or community outreach experience

• Ability to work with individuals and/or a team with diverse backgrounds and experiences

• Able to exhibit good judgement for improved patient outcomes with the ability to consult leadership and escalate as appropriate

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy

• Ability to keep all company sensitive documents secure

• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

• Intermediate level of computer experience with the ability to navigate a Windows environment

• Access to reliable transportation enabling you to travel to member homes and communities within a designated area

• Ability to travel for field-based work, valid driver’s license

• Must be able to plan routes for best time management of schedule and travel time/distance

• Ability to have flexibility with scheduled hours based on member’s availability and/or needs

Preferred Qualifications

• 3+ years' experience working with vulnerable populations

• Experience working in sales

• Licensed Practical Nurse (LPN), Certified Nursing Assistant / Home Health Aide, or

• Medical Assistant

• Bilingual fluency in Spanish and English

• CHW Certification

• Experience working in a managed care organization

• Knowledge of Medicare/Medicaid population

• Telecommuter/work from home experience

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