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Community Health Representative jobs at Centene

- 25 jobs
  • Tribal Liaison

    Centene 4.5company rating

    Community health representative job at Centene

    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Act as the liaison regarding the delivery of behavioral health and/or physical health services to Native Americans. Responsible for providing development and training to Native American Tribes. Maintain database inputs and extract monthly reports reflecting trends and patterns in reported incidents. Assist community with prevention and awareness. Make recommendations for investigations, follow •ups and/or corrective actions. Conduct interviews and site visits to discuss cultural needs. Requires extensive travel to rural communities and remote areas Develop and communicate physical and/or behavioral health programs as applicable to the members of Native American Tribes. Answer general questions regarding applicable policies, procedures, and statutes. Offer assistance and make presentations on new materials. We are seeking a Tribal Liaison to join our team! The ideal candidate will bring expertise in: Must Reside in Washoe County, NV 70% Field Work 30% Travel Comprehensive Knowledge of Native American Cultures Experience Working with Tribal Leaders and Community Members Excellent Customer Service and Communication Skills Education/Experience: Bachelor's degree in related field or equivalent experience in Behavioral Health, Public Health, Health Care Administration, Social Work or Nursing. 3+ years of related experience. Experience with and comprehensive knowledge of Native American cultures. Experience communicating with Tribal Leaders and Community Members regarding the needs of Native Americans. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $55.1k-99k yearly Auto-Apply 10d ago
  • Community Resource Coordinator II

    Centene 4.5company rating

    Community health representative job at Centene

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Applicants must reside in Oregon, preferably in Lane County. Position Purpose: Supports community connection activities including connecting members to community resources to support their care management journey and provide necessary care resources in a cost-effective manner. Provides members with known community resources and supports the care team to identify member community support and provide health education as appropriate. Provides support to members to connect them to known community and care resources in a cost- effective manner Supports the coordination of community outreach resources available to members and promotes awareness of care/services Serves as support for members on community and care resource inquiries and opportunities available to members Supports all member related correspondence and educational materials to assist in the facilitation of a successful community connection Documents and maintains all community resources to ensure standards of practice and policies are in accordance with health plan requirements Provide assistance to the clinical team of nurses and social workers. Activities include, but are not limited to outreach, community education, informal guidance and member support Conduct non-clinical general health assessments in order to refer members to appropriate care/services, resolve concerns on member's behalf, and gather information for medical providers and staff working within the organization Conduct non-medical assessments such as home safety, assessment of the community/environment resources, transportation, employment, and others to be able to refer to appropriate care/services, resolve concerns on member's behalf, and gather information for medical providers in staff working within our organization Conduct telephonic and/or in-person outreach to locate individuals and families in the community who are hard to reach May make visits to individual homes and/or community organizations Working Knowledge of Social Determinants of Health (SDOH) barriers Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a High School diploma or GED Requires 1 - 2 years of related experience Pay Range: $17.50 - $27.50 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $17.5-27.5 hourly Auto-Apply 52d ago
  • Community Health Worker - Remote in Colorado

    Unitedhealth Group Inc. 4.6company rating

    Boulder, CO jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on 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. Schedule: Monday-Friday 8am-5pm MST If you are willing to work Mountain Standard Time Zone business hours, you'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Preference for those residing in Colorado. Primary Responsibilities: * Organize, collect, review and report health and social information through Member phone outreach while demonstrating multicultural sensitivity * Provide administrative and process support to the care management department * Provide support to members with physical, behavioral, and/or social needs through completion of outbound calls, annual assessments and care plans * Assess, plan, and implement care strategies that are individualized by patients and directed toward the most appropriate, lease restrictive level of care * Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services * Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members * Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: * Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays * Medical Plan options along with participation in a Health Spending Account or a Health Saving account * Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage * 401(k) Savings Plan, Employee Stock Purchase Plan * Education Reimbursement * Employee Discounts * Employee Assistance Program * Employee Referral Bonus Program * Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) * More information can be downloaded at: ************************* You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 6+ months of experience in a Care Coordination role * 2+ years of experience in a Care Coordination or Case Manager position * Intermediate level of proficiency with MS Office (Word and Excel) * Ability to work Monday-Friday, 8am-5pm Mountain Standard Time Preferred Qualifications: * Experience working with the Medicare and Medicaid populations * Experience with electronic charting * Experience with arranging community resources * Background in managing populations with complex medical or behavioral needs * Knowledge of Center for Medicare Services (CMS) Regulations * Bilingual Spanish * All Telecommuters will be required to adhere to UnitedHealth Group's 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 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. 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. #RPO #GREEN
    $20-35.7 hourly 1d ago
  • Onsite Health Navigator - Evernorth - Madison, AL

    The Cigna Group 4.6company rating

    Madison, AL jobs

    **Onsite Health Navigator - Health Coach - Madison AL** Hours will be 3 shifts of (Mon, Tues, Thurs) 11 am - 8 pm and 2 shifts of (Wednesday, Friday) 7:00 - 4 pm.. **Here's more on how you'll make a difference** : - Provide onsite face-to-face customer coaching and support - Identify customer health education needs through targeted health assessment activities. - Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals. - Empower customers to become an active participant in their own health outcomes. - Assist Customer in overcoming barriers to better health - Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars. - May perform biometric screenings, blood pressure, body composition, etc. - Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes. - Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc. **What we expect from you** : - Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion - Bachelor's degree in a health-related field. Master's degree preferred. - Current ACLS/BLS/CPR/AED Certification - High energy level, with dynamic presentation skills is required. - Positive role model in demonstrating healthy behaviors - Passion for health improvement - Ability to work independently - Customer-centric focus - Ability to proactively collaborate professionally with the client and other matrix partners. - Understand and own a variety of clinical targets and outcome measurements. Develop action plans that drive clinical value for the customers and clients. - Proven administrative abilities, with strong computer and software application skills. **Bonus points for** : - Behavioral Health experience including stress reduction - CHES (Certified Health Education Specialist) - Motivational interviewing training/experience. This role is based on-site in Madison AL. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $37k-49k yearly est. 60d+ ago
  • Onsite Health Navigator - Evernorth - Madison, AL

    Cigna Group 4.6company rating

    Madison, AL jobs

    Onsite Health Navigator - Health Coach - Madison AL Hours will be 3 shifts of (Mon, Tues, Thurs) 11 am - 8 pm and 2 shifts of (Wednesday, Friday) 7:00 - 4 pm.. Here's more on how you'll make a difference: • Provide onsite face-to-face customer coaching and support • Identify customer health education needs through targeted health assessment activities. • Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals. • Empower customers to become an active participant in their own health outcomes. • Assist Customer in overcoming barriers to better health • Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars. • May perform biometric screenings, blood pressure, body composition, etc. • Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes. • Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc. What we expect from you: • Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion • Bachelor's degree in a health-related field. Master's degree preferred. • Current ACLS/BLS/CPR/AED Certification • High energy level, with dynamic presentation skills is required. • Positive role model in demonstrating healthy behaviors • Passion for health improvement • Ability to work independently • Customer-centric focus • Ability to proactively collaborate professionally with the client and other matrix partners. • Understand and own a variety of clinical targets and outcome measurements. Develop action plans that drive clinical value for the customers and clients. • Proven administrative abilities, with strong computer and software application skills. Bonus points for: • Behavioral Health experience including stress reduction • CHES (Certified Health Education Specialist) • Motivational interviewing training/experience. This role is based on-site in Madison AL. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $37k-49k yearly est. Auto-Apply 60d+ ago
  • Community Health Worker - Remote in the Dallas/Tarrant, TX

    Unitedhealth Group 4.6company rating

    Dallas, TX jobs

    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 **Community Health Worker** is responsible for assessment, planning and implementing care strategies that are individualized by patients 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 coordinator also addresses social determinants of health such as transportation, housing, and food access; link to community supports. **Working Schedule:** Monday through Friday, 8:00am to 5:00pm CST If you reside in the **Dallas/Tarrant, TX area** , you'll enjoy the flexibility to telecommute* as you take on some tough challenges. **Primary Responsibilities:** + Create a positive experience and relationship with the members + Proactively engage the members to manage their own health and healthcare + Support the members to improve their wellbeing by staying out of the hospital, and attend regular visits to their primary physician + As needed, help the member engage with mental health and substance use treatment + Provide member education on community resources and benefits + Conduct post discharge activities from hospital facility and support connection to social services + Partner with care team (community, providers, internal staff) + Knowledge and continued learning of community cultures and values + Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members + Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team + Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG) + benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits) + Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to caller + Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff + Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends + Extensive work experience with Medicaid community + Monitor timely receipt, accuracy and compliance of State assessments. Maintain 100% adherence to State contract, CMS requirements, and UnitedHealthcare Community Plan Performance and Quality metrics around Conversion Goals. 100% adherence to submission timelines of scheduled department reports, assigned metrics and state deliverables.100% adherence to submission deadlines on complaints + Meet State Partner and Internal expectation on timeliness & quality of interactions with members and providers + Demonstrate compliance with the urgency of all Star+Plus State & internal deadlines + Act as an advocate for membership and establish effective working relationships with our providers to service our members, ensuring all federal, state and company regulations, policies, and expectations are followed + Be responsive to our members (retention & referrals) and providers (contracting retention) + Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers + All other duties as assigned **What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:** + Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays + Medical Plan options along with participation in a Health Spending Account or a Health Saving account + Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage + 401(k) Savings Plan, Employee Stock Purchase Plan + Education Reimbursement + Employee Discounts + Employee Assistance Program + Employee Referral Bonus Program + Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) + More information can be downloaded at: ************************* 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) + 2+ years of experience working within the community health setting in a healthcare role + Intermediate level of computer proficiency (including Microsoft office suite) and ability to use 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 in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service + Ability to travel up to 10% of the time for team meetings or company events + Access to reliable transportation and the ability to travel in this 'assigned area' to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices if field based **Preferred Qualifications:** + Associate's degree (or higher) in a health-related field + Certified Nursing Assistant/Home Health Aide, Certified Medical Assistant + 1+ years of knowledge of the resources available, culture, and values in the community + Community Health Worker (CHW) Accreditation + Experience working in managed care + Knowledge of Medicaid/Medicare population + Working knowledge of medical terminology + Bilingual Spanish/English *All Telecommuters will be required to adhere to UnitedHealth Group's 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _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._ \#RPO #GREEN
    $20-35.7 hourly 14d ago
  • Community Health Worker - Remote in the Dallas/Tarrant, TX

    Unitedhealth Group Inc. 4.6company rating

    Dallas, TX jobs

    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 Community Health Worker is responsible for assessment, planning and implementing care strategies that are individualized by patients 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 coordinator also addresses social determinants of health such as transportation, housing, and food access; link to community supports. Working Schedule: Monday through Friday, 8:00am to 5:00pm CST If you reside in the Dallas/Tarrant, TX area, you'll enjoy the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: * Create a positive experience and relationship with the members * Proactively engage the members to manage their own health and healthcare * Support the members to improve their wellbeing by staying out of the hospital, and attend regular visits to their primary physician * As needed, help the member engage with mental health and substance use treatment * Provide member education on community resources and benefits * Conduct post discharge activities from hospital facility and support connection to social services * Partner with care team (community, providers, internal staff) * Knowledge and continued learning of community cultures and values * Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members * Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team * Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG) * benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits) * Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to caller * Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff * Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends * Extensive work experience with Medicaid community * Monitor timely receipt, accuracy and compliance of State assessments. Maintain 100% adherence to State contract, CMS requirements, and UnitedHealthcare Community Plan Performance and Quality metrics around Conversion Goals. 100% adherence to submission timelines of scheduled department reports, assigned metrics and state deliverables.100% adherence to submission deadlines on complaints * Meet State Partner and Internal expectation on timeliness & quality of interactions with members and providers * Demonstrate compliance with the urgency of all Star+Plus State & internal deadlines * Act as an advocate for membership and establish effective working relationships with our providers to service our members, ensuring all federal, state and company regulations, policies, and expectations are followed * Be responsive to our members (retention & referrals) and providers (contracting retention) * Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers * All other duties as assigned What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: * Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays * Medical Plan options along with participation in a Health Spending Account or a Health Saving account * Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage * 401(k) Savings Plan, Employee Stock Purchase Plan * Education Reimbursement * Employee Discounts * Employee Assistance Program * Employee Referral Bonus Program * Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) * More information can be downloaded at: ************************* 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) * 2+ years of experience working within the community health setting in a healthcare role * Intermediate level of computer proficiency (including Microsoft office suite) and ability to use 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 in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service * Ability to travel up to 10% of the time for team meetings or company events * Access to reliable transportation and the ability to travel in this 'assigned area' to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices if field based Preferred Qualifications: * Associate's degree (or higher) in a health-related field * Certified Nursing Assistant/Home Health Aide, Certified Medical Assistant * 1+ years of knowledge of the resources available, culture, and values in the community * Community Health Worker (CHW) Accreditation * Experience working in managed care * Knowledge of Medicaid/Medicare population * Working knowledge of medical terminology * Bilingual Spanish/English * All Telecommuters will be required to adhere to UnitedHealth Group's 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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. #RPO #GREEN
    $20-35.7 hourly 14d ago
  • Community Health Worker

    Humana 4.8company rating

    Remote

    Become a part of our caring community and help us put health first The Community Health Worker (CHW) serves as a liaison between health and social services and the community, identifying health-related issues, collecting data, and discussing concerns with the people served. The Community Health Worker assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. The Community Health Worker (CHW) serves as a key member of our care teams, applying a hands-on approach to member engagement. The CHW supports case management functions, addresses social determinants of health (SDOH) needs, improves self-management of chronic conditions, navigates the healthcare system, and promotes prevention and health education tailored to the needs of the communities we serve. Conduct in-person assessments in Oklahoma City Metro to understand member care needs, preferences, socioeconomic barriers, and evaluate the home environment Assist members in navigating healthcare and social service systems, coordinating access to basic needs (e.g., housing, food, income, transportation), and scheduling physical and behavioral health visits Advocate for members with providers, community resources, schools, and others, including accompanying members to provider visits as requested Identify and address barriers to healthy living and healthcare access, ensuring members can attend their appointments Promote and monitor adherence to care plans, providing motivational interviewing to support medication and treatment adherence Provide social support to boost members' morale and sense of self-worth, serving as a trustworthy, reliable, non-judgmental, consistent, and accepting team member Support member self-management through culturally appropriate health education and coaching Conduct research and in-person outreach to locate difficult-to-contact members to increase assessment completion and participation in clinical programs Build and maintain relationships with providers and community resources to support member referrals and implement community assessments to identify resource gaps Regularly travel to conduct member visits, provider visits, and community-based visits as needed to ensure effective program administration Work collaboratively with other associates as a member of the care support teams, including case managers, housing specialists, and SDOH coordinators Attend community events to connect with members and provide education on case management services. Use your skills to make an impact Required Qualifications Must reside in Oklahoma and be able to travel frequently in the Oklahoma City Metro area 2+ years of experience with community resources, health agencies, or social services (e.g., Area Agency on Aging, DME providers, Meals on Wheels) Intermediate proficiency in Microsoft Office (Teams, Excel, PowerPoint, Outlook, Word) Exceptional communication and interpersonal skills for building rapport with customers and stakeholders Ability to multi-task in a fast-paced environment Strong written communication skills and advocacy for members at all care levels Preferred Qualifications Community Health Worker training and/or certificate or willingness to complete within one (1) year Bachelor's Degree in Social Work or related field Familiarity with state Medicaid program guidelines Experience engaging with Medicaid enrollees, including those with physical health and behavioral health needs and varied health literacy Bilingual English/Spanish Additional Information Driving Statement This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher. TB Statement This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $41,900 - $56,600 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $41.9k-56.6k yearly Auto-Apply 8d ago
  • Onsite Health Coach - Per Diem - Evernorth - Downtown Miami FL

    Cigna 4.6company rating

    Miami, FL jobs

    Part time - Per Diem - Onsite Health Coach - Miami FL Bilingual Spanish strongly preferred Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually. Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients' employees, and those they care about most, by providing access to high quality, affordable services where they work and live. Our Evernorth Workplace Care solution isn't a one-size-fits-all model. Using data-driven insights, we'll customize a solution that addresses your organization's most pressing needs-creating a more affordable, predictable, and simple health care experience. Evernorth Workplace Care - Personalized Care Where You Are Our experienced Health Coach will: * Provide onsite face-to-face customer coaching and support * Identify customer health education needs through targeted health assessment activities. * Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals. * Empower customers to become an active participant in their own health outcomes. * Assist Customer in overcoming barriers to better health * Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars. * May perform biometric screenings, including finger sticks, blood pressure, body composition, etc. * Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes. * Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc. Qualifications: * Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion * Bachelor's degree in a health-related field. Master's degree preferred. * Registered Dietitian licensed in respective state is preferred * CPR/BLS certification through the American Red Cross or American Heart Association is required. * High energy level, with dynamic presentation skills is required. * Positive role model in demonstrating healthy behaviors * Passion for health improvement * Ability to work independently * Customer-centric focus * Ability to proactively collaborate professionally with the client and other matrix partners. * Understand and own a variety of clinical targets and outcome measurements. Develop action plans that drive clinical value for the customers and clients. * Proven administrative abilities, with strong computer and software application skills. * Bilingual Spanish is preferred Bonus points for: * CHES (Certified Health Education Specialist) * Motivational interviewing training/experience. * Smoking cessation and diabetes experience. This position is based in person, in Miami Florida. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $28k-35k yearly est. Auto-Apply 60d+ ago
  • Onsite Health Coach - Per Diem - Evernorth - Downtown Miami FL

    Cigna 4.6company rating

    Miami, FL jobs

    Part time - Per Diem - Onsite Health Coach - Miami FL Bilingual Spanish strongly preferred Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually. Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients' employees, and those they care about most, by providing access to high quality, affordable services where they work and live. Our Evernorth Workplace Care solution isn't a one-size-fits-all model. Using data-driven insights, we'll customize a solution that addresses your organization's most pressing needs-creating a more affordable, predictable, and simple health care experience. Evernorth Workplace Care - Personalized Care Where You Are Our experienced Health Coach will: • Provide onsite face-to-face customer coaching and support • Identify customer health education needs through targeted health assessment activities. • Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals. • Empower customers to become an active participant in their own health outcomes. • Assist Customer in overcoming barriers to better health • Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars. • May perform biometric screenings, including finger sticks, blood pressure, body composition, etc. • Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes. • Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc. Qualifications: • Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion • Bachelor's degree in a health-related field. Master's degree preferred. • Registered Dietitian licensed in respective state is preferred • CPR/BLS certification through the American Red Cross or American Heart Association is required. • High energy level, with dynamic presentation skills is required. • Positive role model in demonstrating healthy behaviors • Passion for health improvement • Ability to work independently • Customer-centric focus • Ability to proactively collaborate professionally with the client and other matrix partners. • Understand and own a variety of clinical targets and outcome measurements. Develop action plans that drive clinical value for the customers and clients. • Proven administrative abilities, with strong computer and software application skills. • Bilingual Spanish is preferred Bonus points for: • CHES (Certified Health Education Specialist) • Motivational interviewing training/experience. • Smoking cessation and diabetes experience. This position is based in person, in Miami Florida. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $28k-35k yearly est. Auto-Apply 60d+ ago
  • Behavioral Health Coach - Bilingual Spanish - Evernorth - Dallas TX

    Cigna 4.6company rating

    Dallas, TX jobs

    Health Coach - Behavioral Health - Bilingual Spanish - Dallas TX Our Custom Coaching program connects employees with a highly skilled wellness coach for face-to-face (or video/telephonic) sessions. Coaches take a holistic approach to help employees set and accomplish goals, manage chronic conditions and encourage healthy behaviors. We are seeking a compassionate and skilled Behavioral Health Coach to support individuals in achieving their mental well-being and personal development goals. This role focuses on guidance, motivation, and skill-building rather than clinical diagnosis or therapy. As a coach, you will empower clients to navigate life's challenges, enhance resilience, and build healthy habits through a whole-person approach to behavioral health. Here's more on how you'll make a difference with our patients: * Provide one-on-one and group coaching and support to individuals in areas such as stress management, emotional well-being, self-care, and personal growth. * Identify customer health education needs through targeted health assessment activities, to include screenings for depression, anxiety and stress. * Utilize evidence-based techniques like motivational interviewing, cognitive behavioral strategies, and mindfulness practices to encourage behavioral change. * Collaborate with clients to set achievable goals and action plans tailored to their needs. Empowering clients to become an active participant in their own health outcomes. * Identify when clients may need clinical intervention and refer them to appropriate care when necessary. * Assist Customer in overcoming barriers to better health. * Utilize biometric values and motivational interviewing techniques to collaborate with customers to drive to improve clinical outcomes. * Lead and support a variety of Health and wellness promotional activities to include, delivering educational workshops, wellness programs, or digital content to support behavioral health initiatives. * Provide support for health-related site events, which include open enrollment, wellness committee facilitation, health fairs, etc. * Maintain accurate and confidential client records in accordance with company policies and ethical guidelines. * Stay informed on the latest behavioral health research, coaching methodologies, and best practices. Required Qualifications: * Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion with a behavioral health focus. (Experience in coaching, counseling, wellness or behavioral health settings.) * Bachelor's Degree required in a health-related field. Behavioral health focused degree (psychology, social work, behavioral science or public health) preferred. * Master's degree preferred * Current ACLS/BLS/CPR/AED Certification or ability to obtain during onboarding * High energy level, with dynamic presentation skills is required. * Positive role model in demonstrating healthy behaviors * Passion for health improvement * Ability to work independently * Customer-centric focus * Ability to proactively collaborate professionally with the client and other matrix partners. * Understand and own a variety of clinical targets and outcome measurements. Develop action plans that drive clinical value for the customers and clients. * Proven administrative abilities, with strong computer and software application skills. * Strong communication, active listening, and motivational skills * Ability to work with diverse populations and tailor coaching approaches accordingly. * Bilingual Spanish * Must reside local to Dallas TX Bonus points for: * Behavioral Health experience including knowledge of trauma-informed care, motivational interviewing, stress management, or holistic wellness approaches * Certification in Health Coaching, Behavioral Health Coaching, Life Coaching, or a related field (e.g., CHES (Certified Health Education Specialist), NBHWC, ICF or similar) This full-time role is based local to Dallas TX. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $30k-38k yearly est. Auto-Apply 60d+ ago
  • Behavioral Health Coach - Bilingual Spanish - Evernorth - Dallas TX

    Cigna 4.6company rating

    Dallas, TX jobs

    Health Coach - Behavioral Health - Bilingual Spanish - Dallas TX Our Custom Coaching program connects employees with a highly skilled wellness coach for face-to-face (or video/telephonic) sessions. Coaches take a holistic approach to help employees set and accomplish goals, manage chronic conditions and encourage healthy behaviors. We are seeking a compassionate and skilled Behavioral Health Coach to support individuals in achieving their mental well-being and personal development goals. This role focuses on guidance, motivation, and skill-building rather than clinical diagnosis or therapy. As a coach, you will empower clients to navigate life's challenges, enhance resilience, and build healthy habits through a whole-person approach to behavioral health. Here's more on how you'll make a difference with our patients: • Provide one-on-one and group coaching and support to individuals in areas such as stress management, emotional well-being, self-care, and personal growth. • Identify customer health education needs through targeted health assessment activities, to include screenings for depression, anxiety and stress. • Utilize evidence-based techniques like motivational interviewing, cognitive behavioral strategies, and mindfulness practices to encourage behavioral change. • Collaborate with clients to set achievable goals and action plans tailored to their needs. Empowering clients to become an active participant in their own health outcomes. • Identify when clients may need clinical intervention and refer them to appropriate care when necessary. • Assist Customer in overcoming barriers to better health. • Utilize biometric values and motivational interviewing techniques to collaborate with customers to drive to improve clinical outcomes. • Lead and support a variety of Health and wellness promotional activities to include, delivering educational workshops, wellness programs, or digital content to support behavioral health initiatives. • Provide support for health-related site events, which include open enrollment, wellness committee facilitation, health fairs, etc. • Maintain accurate and confidential client records in accordance with company policies and ethical guidelines. • Stay informed on the latest behavioral health research, coaching methodologies, and best practices. Required Qualifications: • Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion with a behavioral health focus. (Experience in coaching, counseling, wellness or behavioral health settings.) • Bachelor's Degree required in a health-related field. Behavioral health focused degree (psychology, social work, behavioral science or public health) preferred. • Master's degree preferred • Current ACLS/BLS/CPR/AED Certification or ability to obtain during onboarding • High energy level, with dynamic presentation skills is required. • Positive role model in demonstrating healthy behaviors • Passion for health improvement • Ability to work independently • Customer-centric focus • Ability to proactively collaborate professionally with the client and other matrix partners. • Understand and own a variety of clinical targets and outcome measurements. Develop action plans that drive clinical value for the customers and clients. • Proven administrative abilities, with strong computer and software application skills. • Strong communication, active listening, and motivational skills • Ability to work with diverse populations and tailor coaching approaches accordingly. • Bilingual Spanish • Must reside local to Dallas TX Bonus points for: • Behavioral Health experience including knowledge of trauma-informed care, motivational interviewing, stress management, or holistic wellness approaches • Certification in Health Coaching, Behavioral Health Coaching, Life Coaching, or a related field (e.g., CHES (Certified Health Education Specialist), NBHWC, ICF or similar) This full-time role is based local to Dallas TX. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $30k-38k yearly est. Auto-Apply 60d+ ago
  • Behavioral Health Care Advocate - Case Management - Remote

    Unitedhealth Group Inc. 4.6company rating

    Eden Prairie, MN jobs

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As a Behavioral Health Care Advocate you will be responsible for case management of behavioral health and substance abuse cases. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Provide case management for eligible individuals, supporting members and their families throughout the treatment continuum * Complete discharge follow-ups and provide discharge planning support when needed * Educate members and involve caregivers in care planning and interventions * Advocate for members and families, providing caregiver support and referrals as needed * Ensure members understand treatment options and are connected to appropriate resources * Promote member health, wellness, and optimal psychosocial functioning by identifying caregiver gaps and facilitating education and respite support * Assess member needs holistically to identify and address care gaps * Collaborate with providers using solid customer service and communication skills * Maintain accurate and timely clinical documentation * Participate in clinical rounds and contribute to quality improvement initiatives * Conduct condition-specific research to support member care * Document success stories to highlight program impact 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: * One of the following: * Independently Licensed Clinician with a Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling * Licensed Ph.D. * Registered Nurse with 2+ years of experience in behavioral health * Licenses must be active and unrestricted in the state of residence * 2+ years of post-licensure experience in a related mental health environment * Intermediate level proficiency in MS Office Suite including Word, Teams, and Excel * Dedicated, distraction-free workspace in home * Access to reliable high-speed internet in home (Cable Broadband, DSL, Fiber) Preferred Qualifications: * BSN (for RNs) * 1+ years of case management experience * Discharge planning experience * Chart review experience * Medical/Behavioral setting experience (i.e., hospital, managed care organization, or joint medical/behavioral outpatient practice) * Dual diagnosis experience with mental health and substance abuse * Experience working with the geriatric population * Experience working with eating disorders * Experience consulting with facility and/or hospital staff to coordinate treatment plans * Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients * All employees working remotely will be required to adhere to UnitedHealth Group's 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually 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. 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.
    $28k-33k yearly est. 2d ago
  • Field Based Community Health Worker - Ohio

    Unitedhealth Group Inc. 4.6company rating

    Cleveland, OH jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on 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. Schedule/Travel: 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 8am - 5pm EST. It may be necessary, given the business need, to work occasional overtime. This position will require a candidate to travel up to 100-mile radius of their home. This role is primarily telephonic from a home office but does go out into the community for required face-to-face community outreach events as needed. This role supports the OhioRISE pediatric population. If you reside in the state of Ohio, you will enjoy the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: * Create a positive experience and relationship with the members * Keep the members out of the hospital by supporting regular visits to their primary physician * Keep members actively engaged with their primary physician * Support the member to ensure pick - up of their Rx * Proactively engage the members to manage their care * Provide member education * Support transitions of care * Help to keep members compliant with their care plans * Partner with care team (community, providers, internal staff) * Knowledge and continued learning of community cultures and values * Conduct member assessments What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: * Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays * Medical Plan options along with participation in a Health Spending Account or a Health Saving account * Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage * 401(k) Savings Plan, Employee Stock Purchase Plan * Education Reimbursement * Employee Discounts * Employee Assistance Program * Employee Referral Bonus Program * Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) * More information can be downloaded at: ************************* You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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) * 1+ years of experience working with children with behavioral health needs * Intermediate level knowledge of the culture and values of the community and familiarity with the resources available in the community * Ability to comply with UHG Telecommuting Policy and have a designated workspace inside the home with access to high-speed internet availability * Ability to travel locally up to 50% of the time * Ability to work Monday through Friday, 8AM to 5PM * Must reside in the state of Ohio * Access to reliable transportation & valid US driver's license Preferred Qualifications: * Bachelor's Degree (or higher) in social work and/or healthcare administration * Community Health Worker (CHW) Accreditation * Experience working in Managed Care, Behavioral Health, Substance Abuse and Medical Care * Knowledge of Ohio Medicaid population * Experience with medical terminology * Bilingual fluency in English and Spanish * Field based experience Soft Skills: * Excellent communication skills * Ability to work autonomously and ability to self-direct * Ability to remain focused and productive each day though tasks may be repetitive * Ability to work in multiple systems and applications to complete daily tasks Telecommuter Requirements: * 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 (if applicable) * Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Physical and Work Environment: * Frequent speaking, using hands to conduct outbound calls, sitting and standing, getting in and out of vehicle repetitively, use of hands / fingers across keyboard or mouse, handling other objects, long periods of close vision looking at a computer monitor * All Telecommuters will be required to adhere to UnitedHealth Group's 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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. #RPO #RED
    $20-35.7 hourly 1d ago
  • Escalation Advocate, Behavioral Health - Remote

    Unitedhealth Group 4.6company rating

    Maryland Heights, MO jobs

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** The Escalations Advocate is an individual contributor role responsible for an exciting variety of responsibilities in Specialty Networks of OptumHealth. We are looking for someone with solid analytical skills, who can think critically. The perfect candidate is flexible, detail oriented, able to see the big picture, can work within and across multidisciplinary teams, build relationships and has a positive personality. We are seeking lifelong learners who stay up to date on regulations, industry trends and advancements in the field, in addition to constantly developing their personal skillset. Our team members are sought out as a valued experts by our case partners, accounts, and customers. *****Required schedule is Monday-Friday, 10:30am - 7:00pm CST***** You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Extensive work experience, possibly in multiple operational areas + Manage a challenging role in a fast - paced environment + Achieve timely resolution to urgent and non - urgent issues, most of our issues turn around in 48hrs + Synthesize and communicate complex information in understandable terms both verbally and written + Support issue resolution for a variety of internal and external customers + Critically analyze issues from multiple angles to determine the root cause and next steps + Analyze issues including conducting a root cause analysis by identifying potential compliance, process, or systemic breakdowns and communicate findings to management and issue resolution partners + Able communicate effectively with state agencies, regulators, external customers, clinical medical directors, and senior leadership + Utilize expertise to support issue resolution + Collaborate and coordinate across multiple teams, departments, and representatives + Recognize trends with escalated issues and identity, carry out or coordinate preventative action + Develop effective working relationships with the applicable internal and external customers + Ability to conduct quick and thorough in-depth research across many systems and platforms (Iset, Linx, Unet, Facets, etc.) + Work independently + Mentor and develop other team members + Hold others accountable for resolution activities + Review the work of others to assess accuracy with process requirements + Develop innovative approaches to issue resolution + Providing member advocacy including serving as a primary point of contact for members who require assistance with their healthcare needs + Reviewing and resolving complex claims issues, investigating claim discrepancies, and collaborating with the claims processing teams + Understanding medical and behavioral health terminology, treatment options, and guidelines 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:** + Behavioral Health Clinical licensure - independently clinically licensed (i.e., LPC, LCSW, LMFT, LMHC, etc.). + 5+ years of behavioral health care experience + 3+ years of customer service experience in the healthcare industry + Proven knowledge of or State and Federal regulations that govern commercial health insurance + Proficiency with computer and Windows PC applications + Proficiency with Linx, ICUE, OCM + Designated workspace and access to install secure high-speed internet via cable/DSL in home **Preferred Qualifications:** + Experience with or a willingness to learn behavioral health appeals/claims + Optum Care Advocacy or UM experience + Assessment and Triage experience *All employees working remotely will be required to adhere to UnitedHealth Group's 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually 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. _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._
    $27k-32k yearly est. 60d+ ago
  • Escalation Advocate, Behavioral Health - Remote

    Unitedhealth Group Inc. 4.6company rating

    Maryland Heights, MO jobs

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Escalations Advocate is an individual contributor role responsible for an exciting variety of responsibilities in Specialty Networks of OptumHealth. We are looking for someone with solid analytical skills, who can think critically. The perfect candidate is flexible, detail oriented, able to see the big picture, can work within and across multidisciplinary teams, build relationships and has a positive personality. We are seeking lifelong learners who stay up to date on regulations, industry trends and advancements in the field, in addition to constantly developing their personal skillset. Our team members are sought out as a valued experts by our case partners, accounts, and customers. * Required schedule is Monday-Friday, 10:30am - 7:00pm CST* You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Extensive work experience, possibly in multiple operational areas * Manage a challenging role in a fast - paced environment * Achieve timely resolution to urgent and non - urgent issues, most of our issues turn around in 48hrs * Synthesize and communicate complex information in understandable terms both verbally and written * Support issue resolution for a variety of internal and external customers * Critically analyze issues from multiple angles to determine the root cause and next steps * Analyze issues including conducting a root cause analysis by identifying potential compliance, process, or systemic breakdowns and communicate findings to management and issue resolution partners * Able communicate effectively with state agencies, regulators, external customers, clinical medical directors, and senior leadership * Utilize expertise to support issue resolution * Collaborate and coordinate across multiple teams, departments, and representatives * Recognize trends with escalated issues and identity, carry out or coordinate preventative action * Develop effective working relationships with the applicable internal and external customers * Ability to conduct quick and thorough in-depth research across many systems and platforms (Iset, Linx, Unet, Facets, etc.) * Work independently * Mentor and develop other team members * Hold others accountable for resolution activities * Review the work of others to assess accuracy with process requirements * Develop innovative approaches to issue resolution * Providing member advocacy including serving as a primary point of contact for members who require assistance with their healthcare needs * Reviewing and resolving complex claims issues, investigating claim discrepancies, and collaborating with the claims processing teams * Understanding medical and behavioral health terminology, treatment options, and guidelines 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: * Behavioral Health Clinical licensure - independently clinically licensed (i.e., LPC, LCSW, LMFT, LMHC, etc.). * 5+ years of behavioral health care experience * 3+ years of customer service experience in the healthcare industry * Proven knowledge of or State and Federal regulations that govern commercial health insurance * Proficiency with computer and Windows PC applications * Proficiency with Linx, ICUE, OCM * Designated workspace and access to install secure high-speed internet via cable/DSL in home Preferred Qualifications: * Experience with or a willingness to learn behavioral health appeals/claims * Optum Care Advocacy or UM experience * Assessment and Triage experience * All employees working remotely will be required to adhere to UnitedHealth Group's 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually 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. 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.
    $27k-32k yearly est. 24d ago
  • Field Based Community Health Worker -Union County, OH

    Unitedhealth Group 4.6company rating

    Marysville, OH jobs

    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.** **Schedule:** Monday to Friday 8am-5pm. **Travel:** Up to 75% travel. This is a field-based position. As a **Field Based 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 most 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 8am to 5pm. If you reside in **Union County, Ohio** you will have the flexibility to telecommute* as you take on some tough challenges. This position is a Field-Based position with a Home-Based office. **Primary Responsibilities:** + Create a positive experience and relationship with the member + Help member set goals and develop a care plan to achieve those goals + Proactively engage the member to manage their own health and healthcare + Support the member to improve their wellbeing by staying out of the hospital, and attend regular visits to their primary physician + As needed, help the member engage with mental health and substance use treatment + Support the member to ensure pick-up of their prescriptions + Provide member education on community resources and benefits + Conduct post discharge activities from hospital facility and support connection to social services + Support member to engage in work or volunteer activities, if desired, and develop more solid social supports through deeper connections with friends, family, and their community + Partner with care team (community, providers, internal staff) + Knowledge and continued learning of community cultures and values + May conduct Health Risk Assessments (HRA) if needed **What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:** + Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays + Medical Plan options along with participation in a Health Spending Account or a Health Saving account + Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage + 401(k) Savings Plan, Employee Stock Purchase Plan + Education Reimbursement + Employee Discounts + Employee Assistance Program + Employee Referral Bonus Program + Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) + More information can be downloaded at: ************************* 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) + Intermediate level of knowledge in culture and values of the community + Intermediate level of familiarity with the resources available in the community + Intermediate level of ability to navigate a PC to open applications, send emails, and conduct data entry + Intermediate level of proficiency in Microsoft 365 + Designated workspace inside the home with access to high - speed internet availability (Provided by UHG) + Reside in Union County, Ohio + Access to reliable transportation & valid US driver's license + Ability to travel locally up to 75% of the time **Preferred Qualifications:** + Licensed Practical Nurse (LPN), Certified Nursing Assistant / Home Health Aide, Certified Medical Assistant + 2+ years of field-based experience + CHW Accreditation + Experience in health-related field + Experience in care management + Experience working in Managed Care + Knowledge of Medicaid and/or Medicare population *All Telecommuters will be required to adhere to UnitedHealth Group's 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _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._ \#RPO #RED
    $20-35.7 hourly 27d ago
  • Field Based Community Health Worker -Union County, OH

    Unitedhealth Group Inc. 4.6company rating

    Marysville, OH jobs

    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. Schedule: Monday to Friday 8am-5pm. Travel: Up to 75% travel. This is a field-based position. As a Field Based 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 most 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 8am to 5pm. If you reside in Union County, Ohio you will have the flexibility to telecommute* as you take on some tough challenges. This position is a Field-Based position with a Home-Based office. Primary Responsibilities: * Create a positive experience and relationship with the member * Help member set goals and develop a care plan to achieve those goals * Proactively engage the member to manage their own health and healthcare * Support the member to improve their wellbeing by staying out of the hospital, and attend regular visits to their primary physician * As needed, help the member engage with mental health and substance use treatment * Support the member to ensure pick-up of their prescriptions * Provide member education on community resources and benefits * Conduct post discharge activities from hospital facility and support connection to social services * Support member to engage in work or volunteer activities, if desired, and develop more solid social supports through deeper connections with friends, family, and their community * Partner with care team (community, providers, internal staff) * Knowledge and continued learning of community cultures and values * May conduct Health Risk Assessments (HRA) if needed What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: * Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays * Medical Plan options along with participation in a Health Spending Account or a Health Saving account * Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage * 401(k) Savings Plan, Employee Stock Purchase Plan * Education Reimbursement * Employee Discounts * Employee Assistance Program * Employee Referral Bonus Program * Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) * More information can be downloaded at: ************************* 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) * Intermediate level of knowledge in culture and values of the community * Intermediate level of familiarity with the resources available in the community * Intermediate level of ability to navigate a PC to open applications, send emails, and conduct data entry * Intermediate level of proficiency in Microsoft 365 * Designated workspace inside the home with access to high - speed internet availability (Provided by UHG) * Reside in Union County, Ohio * Access to reliable transportation & valid US driver's license * Ability to travel locally up to 75% of the time Preferred Qualifications: * Licensed Practical Nurse (LPN), Certified Nursing Assistant / Home Health Aide, Certified Medical Assistant * 2+ years of field-based experience * CHW Accreditation * Experience in health-related field * Experience in care management * Experience working in Managed Care * Knowledge of Medicaid and/or Medicare population * All Telecommuters will be required to adhere to UnitedHealth Group's 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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. #RPO #RED
    $20-35.7 hourly 28d ago
  • Health Coach - Evernorth - Bartow FL

    The Cigna Group 4.6company rating

    Bartow, FL jobs

    **Health Educator / Health Coach - Evernorth - Bartow FL** Our Custom Coaching program connects employees with a highly skilled wellness coach for face-to-face sessions. Coaches take a holistic approach to help employees set and accomplish goals, manage chronic conditions and encourage healthy behaviors. Our experienced Health Coach will: - Provide onsite face-to-face customer coaching and support - Identify customer health education needs through targeted health assessment activities. - Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals. - Empower customers to become an active participant in their own health outcomes. - Assist Customer in overcoming barriers to better health - Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars. - May perform biometric screenings, including finger sticks, blood pressure, body composition, etc. - Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes. - Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc. **The Successful Coach Will Possess:** - Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion - Bachelor's degree in a health-related field. Master's degree preferred. - Registered Dietitian (preferred) licensed in respective state - Current ACLS/BLS/CPR/AED Certification - High energy level, with dynamic presentation skills is required. - Positive role model in demonstrating healthy behaviors - Passion for health improvement - Ability to work independently - Customer-centric focus - Ability to proactively collaborate professionally with the client and other matrix partners. - Understand and own a variety of clinical targets and outcome measurements. Develop action plans that drive clinical value for the customers and clients. - Proven administrative abilities, with strong computer and software application skills. **Bonus points for** : - CHES (Certified Health Education Specialist) - Motivational interviewing training/experience. - Smoking cessation and diabetes experience. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $28k-35k yearly est. 7d ago
  • Field Community Health Worker - Hamilton County, OH

    Unitedhealth Group Inc. 4.6company rating

    Cincinnati, OH jobs

    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 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. 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. The coordinator also addresses social determinant of health such as transportation, housing, and food access. Working Schedule: Monday through Friday between the hours of 8 am to 5pm. No nights, weekends, or holidays. Local travel up to 50% and mileage is reimbursed at current government rate. This position is a field-based position with a home-based office. You will work from home when not in the field. If you reside within Hamilton County, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: * Engage members either face to face or telephonically to assist with closing gaps in care, linking to necessary services and providing education about their health * Review available member services records and relevant documentation (e.g. utilization history, functional level, stratification information) * Conduct member health assessments that include 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 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 Health Action Plan based on their individual needs, preferences, and objective 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 their Health Action Plan * Review plan benefits and identify appropriate programs and services based on health 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 providers * Advocate for individuals and communities within the health and social service systems 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) * 1+ years of experience with knowledge of the resources available, culture, and values in the community * Intermediate level of computer proficiency (including Microsoft Outlook, Teams) and ability to use 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) * Must reside within a commutable distance to Cincinnati, Ohio area and the surrounding communities * Valid driver's license and current automobile insurance with access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area * Ability to travel locally, up to 100 miles round trip and up to 50% of the time * Must reside within Hamilton County, Ohio Preferred Qualifications: * Associate degree (or higher) in a health-related field * LPN (Licensed Practical Nurse) Licensure or CNA / HHA * Community Health Worker (CHW) Accreditation * 1+ years of field-based experience * Experience/position with Community outreach * Experience/position in healthcare * Experience working in Managed Care * Experience/position in a Community Health Related field * Knowledge of Medicaid/Medicare population * All Telecommuters will be required to adhere to UnitedHealth Group's 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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. #RPO #RED
    $20-35.7 hourly 2d ago

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