Healthcare

Bilingual Field Based Community Health Worker - King, Pierce, or Snohomish Counties, WA

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. 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 the majority 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. Expect to spend about 50-75% of your time in the field visiting our members in community settings such as events or in their homes, in King County WA and surrounding areas. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Scheduled: Monday - Friday with some evening and weekend hours to attend community events. If you reside near King County or surrounding areas , you will have 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 Provide member education on community resources and benefits Support members to engage in work or volunteer activities, if desired, and develop solid social support through deeper connections with friends, family, and their community Engages members primarily face to face or over the phone to discuss their need for provider follow up Creates positive experience and relationship with the member to drive Quality performance within our assigned membership Conducts outreach to encourage participation in health-related programs, services, and/or providers Engages patients by driving to the homes of the unable to reach population Utilize strong skill sets of managing multiple tasks at a time, being self-motivated, driven toward quality results, managing time well, being very detailed oriented and organized, work well in a team and on your own, and ability to manage multiple deadlines Knowledge and continued learning of community cultures and values 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.) 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 in local community-based resources Intermediate level of proficiency in MS Word and Outlook Designated workspace inside the home with access to high-speed internet Ability to travel in assigned territory approximately 50-75% of the time Ability to work Monday through Friday, 8 AM to 5 PM and open to working some evenings and weekend hours for events Resident of Washington state Bilingual Spanish and English Access to reliable transportation & valid US driver's license Preferred Qualifications: Bachelor's degree in Social Work, Licensed Practical Nurse (LPN), MA/CNA/HHA or High School graduate with 1 year of experience working within the community health setting in a health care role One of the following credentials/experiences: Licensed Practical Nurse (LPN) Certified Nursing Assistant (CAN) Home Health Aide Certified Medical Assistant Social work experience CHW Accreditation 2 years of community outreach work experience 2 years of field-based experience Knowledge and/or experience with behavioral health or substance use disorders Care management experience Experience working in Managed Care Experience with EHR 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 $20.38 to $36.44 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

  • Pioneer Square, WA

  • no content

New York MAP Field Based Assessor - RN - Brooklyn, Richmond

Join Us at our UHC C&S New York Virtual Job Fair Tuesday October 20 th | 12:00 PM-2:00 PM EDT Register here: https://uhg.hr/RSVP-newyork-hiringevent 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. The RN Assessor assists in enrolling members into the NYMAP plan. They assist in determining the person-centered service plan by working closely with prospective enrollees. They are an integral part of a team approach and work closely with the NYMAP care managers once the member is enrolled to perform all ongoing in-person functions to assess and develop the members person centered service plan to meet their needs. If you reside in Brooklyn, Richmond, NY and surrounding areas, you'll enjoy the flexibility to telecommute* as you take on some tough challenges. This is a Field-based role. Expect to spend at least 75-100% of your time in the field visiting our members. Coverage area : Brooklyn and Richmond Primary Responsibilities: Assess, plan and implement care strategies that are individualized by members and directed toward the most appropriate, lease restrictive level of care Perform the NYS UAS Assessment in the members' home at least annually and as needed Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Utilize the UAS-NY to develop a Person-Centered Service Plan that meets the members' needs Manage the person-centered service plan throughout the continuum of care as part of the care management team Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for members and their families as needed to ensure the member's needs and choices are fully represented and supported by the health care team 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: Associate's degree Current, unrestricted RN license for the state of New York 4 years of experience working within the community health setting in a health care role 2 years of experience in long-term care, home health, hospice, public health or assisted living 1 years of relevant community case management experience coordinating care for individuals with complex needs Ability to travel in assigned regions to visit Medicaid members in their homes and/or other settings, including community centers, hospitals or providers' offices. Or other settings, including community centers, hospitals or providers' offices Must hold active New York state ID Access to reliable transportation and valid US driver's license Preferred Qualifications: A background in managing populations with complex medical or behavioral needs Experience with electronic charting Experience with arranging community resources Prior field-based work experience UAS-NY *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 $29 - $52 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

  • Brooklyn, NY

  • no content

Bilingual Field Based Community Health Worker - King, Pierce, or Snohomish Counties, WA

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. 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 the majority 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. Expect to spend about 50-75% of your time in the field visiting our members in community settings such as events or in their homes, in King County WA and surrounding areas. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Scheduled: Monday - Friday with some evening and weekend hours to attend community events. If you reside near King County or surrounding areas , you will have 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 Provide member education on community resources and benefits Support members to engage in work or volunteer activities, if desired, and develop solid social support through deeper connections with friends, family, and their community Engages members primarily face to face or over the phone to discuss their need for provider follow up Creates positive experience and relationship with the member to drive Quality performance within our assigned membership Conducts outreach to encourage participation in health-related programs, services, and/or providers Engages patients by driving to the homes of the unable to reach population Utilize strong skill sets of managing multiple tasks at a time, being self-motivated, driven toward quality results, managing time well, being very detailed oriented and organized, work well in a team and on your own, and ability to manage multiple deadlines Knowledge and continued learning of community cultures and values 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.) 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 in local community-based resources Intermediate level of proficiency in MS Word and Outlook Designated workspace inside the home with access to high-speed internet Ability to travel in assigned territory approximately 50-75% of the time Ability to work Monday through Friday, 8 AM to 5 PM and open to working some evenings and weekend hours for events Resident of Washington state Bilingual Spanish and English Access to reliable transportation & valid US driver's license Preferred Qualifications: Bachelor's degree in Social Work, Licensed Practical Nurse (LPN), MA/CNA/HHA or High School graduate with 1 year of experience working within the community health setting in a health care role One of the following credentials/experiences: Licensed Practical Nurse (LPN) Certified Nursing Assistant (CAN) Home Health Aide Certified Medical Assistant Social work experience CHW Accreditation 2 years of community outreach work experience 2 years of field-based experience Knowledge and/or experience with behavioral health or substance use disorders Care management experience Experience working in Managed Care Experience with EHR 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 $20.38 to $36.44 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

  • Burien, WA

  • no content

Senior Clinical Admin Nurse RN - Emerging CARE - Remote

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together Be part of an exciting opportunity combining your entrepreneurial drive and passion to help others. This is a new program to build trusted relationships with members across the continuum of care as a registered nurse providing guidance and education as appropriate. The goal of this program is to provide a front line clinical resource to provide education and support of members about management of their health and well-being. This role is very customer service oriented and benefits from a nursing generalist background. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Acts as resource to members calling into a customer service setting addressing medical/health questions Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member Provide process and status on previously submitted prior authorizations or pre-determination requests Effectively refers and enrolls members to appropriate internal specialists and programs, based on member's needs and eligibility Support and advocate for members and families in complicated medical situations Use good nursing judgement in a variety of scenarios real time Accurately documents member interaction across multiple databases, while on the call and appropriate follow all processes and procedures Educates members in healthcare decision making Takes lead role in setting direction and participating in or developing new program and initiatives to improve performance of new program Ability to collaborate with peers and managers to improve service model performance Assists with the development and implementation of departmental policies and procedures Enjoys working in a fast paced environment and must be able to adapt quickly to change while executing efficiently Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm. 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: Current and unrestricted RN compact license 4 years of acute nursing experience as an RN 2 years of case management experience Med-surg, critical care and/or ER experience Basic computer proficiency (ie MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision Preferred Qualifications: Bachelor's degree in nursing CCM 2 years of managed care experience Behavioral health/substance use disorder experience Pediatric experience Utilization management experience Adverse Determination experience Telecommute experience Soft Skills: Demonstrated excellent verbal and written communication skills Excellent customer service orientation Proven team player and team building skills Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment *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 $60,200 - $107,400 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.

  • Federal Heights, CO

  • no content

Senior Clinical Admin Nurse RN - Emerging CARE - Remote

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together Be part of an exciting opportunity combining your entrepreneurial drive and passion to help others. This is a new program to build trusted relationships with members across the continuum of care as a registered nurse providing guidance and education as appropriate. The goal of this program is to provide a front line clinical resource to provide education and support of members about management of their health and well-being. This role is very customer service oriented and benefits from a nursing generalist background. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Acts as resource to members calling into a customer service setting addressing medical/health questions Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member Provide process and status on previously submitted prior authorizations or pre-determination requests Effectively refers and enrolls members to appropriate internal specialists and programs, based on member's needs and eligibility Support and advocate for members and families in complicated medical situations Use good nursing judgement in a variety of scenarios real time Accurately documents member interaction across multiple databases, while on the call and appropriate follow all processes and procedures Educates members in healthcare decision making Takes lead role in setting direction and participating in or developing new program and initiatives to improve performance of new program Ability to collaborate with peers and managers to improve service model performance Assists with the development and implementation of departmental policies and procedures Enjoys working in a fast paced environment and must be able to adapt quickly to change while executing efficiently Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm. 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: Current and unrestricted RN compact license 4 years of acute nursing experience as an RN 2 years of case management experience Med-surg, critical care and/or ER experience Basic computer proficiency (ie MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision Preferred Qualifications: Bachelor's degree in nursing CCM 2 years of managed care experience Behavioral health/substance use disorder experience Pediatric experience Utilization management experience Adverse Determination experience Telecommute experience Soft Skills: Demonstrated excellent verbal and written communication skills Excellent customer service orientation Proven team player and team building skills Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment *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 $60,200 - $107,400 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.

  • Bellevue, IA

  • no content

Care Coordinator II

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. Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities. Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service May support performing service assessments/screenings for members and documenting the member’s care needs Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager Provide education on benefits and resources available 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 License/Certification: For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required Preferred Qualifications: This is a field-based role supporting members with developmental disabilities needs. Candidates should have strong experience working with the Developmental Disabilities (DD) population. Applicants must reside in or be able to support members throughout St. Francis, Cross, and Crittenden counties in Arkansas. Pay Range: $17.84 - $28.02 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

  • Arkansas

  • no content

Bilingual Field Based Community Health Worker - King, Pierce, or Snohomish Counties, WA

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. 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 the majority 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. Expect to spend about 50-75% of your time in the field visiting our members in community settings such as events or in their homes, in King County WA and surrounding areas. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Scheduled: Monday - Friday with some evening and weekend hours to attend community events. If you reside near King County or surrounding areas , you will have 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 Provide member education on community resources and benefits Support members to engage in work or volunteer activities, if desired, and develop solid social support through deeper connections with friends, family, and their community Engages members primarily face to face or over the phone to discuss their need for provider follow up Creates positive experience and relationship with the member to drive Quality performance within our assigned membership Conducts outreach to encourage participation in health-related programs, services, and/or providers Engages patients by driving to the homes of the unable to reach population Utilize strong skill sets of managing multiple tasks at a time, being self-motivated, driven toward quality results, managing time well, being very detailed oriented and organized, work well in a team and on your own, and ability to manage multiple deadlines Knowledge and continued learning of community cultures and values 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.) 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 in local community-based resources Intermediate level of proficiency in MS Word and Outlook Designated workspace inside the home with access to high-speed internet Ability to travel in assigned territory approximately 50-75% of the time Ability to work Monday through Friday, 8 AM to 5 PM and open to working some evenings and weekend hours for events Resident of Washington state Bilingual Spanish and English Access to reliable transportation & valid US driver's license Preferred Qualifications: Bachelor's degree in Social Work, Licensed Practical Nurse (LPN), MA/CNA/HHA or High School graduate with 1 year of experience working within the community health setting in a health care role One of the following credentials/experiences: Licensed Practical Nurse (LPN) Certified Nursing Assistant (CAN) Home Health Aide Certified Medical Assistant Social work experience CHW Accreditation 2 years of community outreach work experience 2 years of field-based experience Knowledge and/or experience with behavioral health or substance use disorders Care management experience Experience working in Managed Care Experience with EHR 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 $20.38 to $36.44 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

  • Newcastle, WA

  • no content

RN Field Clinical Care Coordinator - Saugus, Melrose, Malden, MA

Join Us at our Virtual Job Fair to learn more about this position! Wednesday, October 7th | 12pm - 2pm EDT Register here: UHC Community & State Massachusetts Virtual Job Fair 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 RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities will focus on supporting member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. If you reside within Saugus, Melrose, Malden, MA and surrounding areas , you will have the flexibility to work remotely* as you take on some tough challenges. This position is a field-based position with a home-based office. You will work from home when not in the field. Local travel up to 75% and mileage is reimbursed at current government rate. Primary Responsibilities: Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission Advocate for members and families as needed to ensure the member'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.) 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 Current and unrestricted independent licensure as a Registered Nurse for MA 2 years of clinical experience Intermediate level of proficiency with MS Office, including Word, Excel and Outlook Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI) Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Access to reliable transportation and the ability to travel within assigned territory to meet with members and providers Valid US driver's license Preferred Qualifications: Bachelor's or Master's Degree in Nursing Certified Care Manager (CCM) 1 years of community case management experience coordinating care for individuals with complex needs Background in Managed Care Experience working in team-based care Ability to utilize an Electronic Medical Record or other electronic platforms Ability to use on-line training platforms Demonstrated ability to utilize virtual care platforms Physical Requirements: Ability to transition from office to field locations multiple times per day Ability to navigate multiple locations/terrains to visit employees, members and/or providers Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.) Ability to remain stationary for long periods of time to complete computer or tablet work duties *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. PLEASE NOTE The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus. 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 $29.00 to $52.00 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

  • Malden, MA

  • no content

Field Care Coordinator - Washington County, TN

Join Us at our UHC C&S Tennessee Virtual Job Fair Wednesday October 28 th | 12:00 PM-2:00 PM CDT Register here: https://uhg.hr/RSVP-hiringevent-TN 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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The primary purpose of this position is the application of clinical knowledge to coordinate member care needs for assigned members who are primarily medically complex and require intensive medical and psychosocial support. The Care Coordinator works directly with members to ensure appropriate access to services and providers. Coordination of member care needs across the continuum begins with early identification of health risk factors, education, and prevention using the six essential activities of case management as per CMSA. Coordination also assures the provision of appropriate services in acute, home, chronic and alternative care settings, to meet member needs in the most cost-effective manner available. Collaborates with all members of the Care Coordination team including Case Management, Utilization Review and Behavioral Health team members. If you are located in or within commutable driving distance to primarily Washington county, you'll enjoy the flexibility to work remotely* as you take on some tough challenges. This is a field-based role. Primary Responsibilities: Application of clinical knowledge to effect efficient case management for those accessing their Medicare/Medicaid benefits Incorporates evidence-based clinical practices into care coordination activities Delivers member-centered, individualized self-management support and patient education Ensure appropriate utilization and consistent application of the health benefits Conduct telephonic and face to face assessments according to Health Plan policy and procedure, including system documentation and State prescribed timeframes Serve as member advocate and facilitator to resolve issues that may be perceived as barriers to care Provide education and coordination of community resource referrals to members and providers Develop, implement, maintain and evaluate a member centered, individual care plan when services are indicated, based on member care needs identified through proactive collaboration and communication with members, families and providers Collaborate and communicate with other members of the Care Coordination Team to improve the quality and efficiency of health care delivery and ensure smooth transition of care coordination activities to other team members Monitor hospital encounters of assigned members and provide education and/or interventions as necessary to reduce frequency Refer clinical decisions beyond level of authority for members who do not meet established criteria to manager for review and decision Participate in the Health Plan Quality Improvement process including recognition of quality-of-care issues and forward information to appropriate staff for review and resolution Utilize Health Plan software to enter service requests, document, and monitor all aspects of member care coordination and service delivery Maintain time sensitive documentation to assure compliance with regulatory agencies Coordinate services for members following Health plan policy Perform other duties as assigned 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: Bachelor's degree in Social Work, Nursing or other health care profession including LPN 2 years of clinical case management experience 1 years of experience with MS Office, including Word, Excel, and Outlook Excellent organization, communication and time management skills Reside in or within a commutable driving distance to Washington county Access to reliable transportation and valid US driver's license with the ability to travel up to 75% within an assigned territory to meet with members and providers Preferred Qualifications: LCSW, LBSW, Master's Degree (or higher) in Clinical Field CCM certification 1 years of community case management experience coordinating care for individuals with complex needs Long term care experience Experience working in team-based care Working knowledge of Medicare/Medicaid regulations Working knowledge of medical terminology *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 $29 - $52 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

  • Mountain Home, TN

  • no content

Senior Clinical Admin Nurse RN - Emerging CARE - Remote

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together Be part of an exciting opportunity combining your entrepreneurial drive and passion to help others. This is a new program to build trusted relationships with members across the continuum of care as a registered nurse providing guidance and education as appropriate. The goal of this program is to provide a front line clinical resource to provide education and support of members about management of their health and well-being. This role is very customer service oriented and benefits from a nursing generalist background. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Acts as resource to members calling into a customer service setting addressing medical/health questions Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member Provide process and status on previously submitted prior authorizations or pre-determination requests Effectively refers and enrolls members to appropriate internal specialists and programs, based on member's needs and eligibility Support and advocate for members and families in complicated medical situations Use good nursing judgement in a variety of scenarios real time Accurately documents member interaction across multiple databases, while on the call and appropriate follow all processes and procedures Educates members in healthcare decision making Takes lead role in setting direction and participating in or developing new program and initiatives to improve performance of new program Ability to collaborate with peers and managers to improve service model performance Assists with the development and implementation of departmental policies and procedures Enjoys working in a fast paced environment and must be able to adapt quickly to change while executing efficiently Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm. 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: Current and unrestricted RN compact license 4 years of acute nursing experience as an RN 2 years of case management experience Med-surg, critical care and/or ER experience Basic computer proficiency (ie MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision Preferred Qualifications: Bachelor's degree in nursing CCM 2 years of managed care experience Behavioral health/substance use disorder experience Pediatric experience Utilization management experience Adverse Determination experience Telecommute experience Soft Skills: Demonstrated excellent verbal and written communication skills Excellent customer service orientation Proven team player and team building skills Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment *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 $60,200 - $107,400 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.

  • Council Bluffs, IA

  • no content

Director, LTSS Clinical Care Management

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. Candidate must reside in Indiana or be willing to relocate to Indiana. Serves as the LTSS subject matter expert, leading RFP development and submissions while supporting the design, implementation, and growth of LTSS programs. Position Purpose: Directs the long-term care of members with physical/medical health needs and/or behavioral/mental health needs to develop and assess high quality, cost-effective healthcare outcomes. Develops strategies and objectives within long-term care management to improve member and/or provider experience. Provides leadership to the development, implementation, monitoring, and ongoing improvement of the long-term care management process Sets goals and objectives for long-term care management team and oversees care management data and reporting metrics to achieve quality and cost-effective healthcare results and working with senior leadership, as required Leads long-term care management policies and procedures within the care management team to ensure compliance with corporate, state, and National Committee for Quality Assurance (NCQA) standards Oversees and monitors work assignments and caseloads of long-term care management staff based on state requirements, care management staff experience, and member needs Monitors, reviews, and signs off on contract required reporting as required Vendor oversight as required and applicable to the role Attends conferences and stays up to date on latest trends and best practices in Payer Care Management and related fields, as applicable Leads and presents process improvements for the long-term care management team to achieve cost-effective healthcare results Leads and coordinates large or special project work with other departmental functions Directs and evaluates departmental operations, including the long-term care management model, staffing, use of information technologies, onboarding, and staff competencies to achieve performance and quality objectives Reviews and monitors long-term care member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations, and participates with internal and external audits as required Contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care Develops long-term care management strategies and influences decisions by providing recommendations that align to organizational objectives Provides coaching and guidance to long-term care management team to improve member and provider experience and facilitate delivery of high-quality care Develops department budget while collaborating inter-departmentally and with senior leadership Develops the overall strategy for onboarding, hiring, and training new long-term care management team members to ensure adequate training and high-quality care to improve member and/or provider experience and ensure compliance Performs other duties as assigned Complies with all policies and standards Education/Experience: Positions overseeing RN team members: Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 7 years of related experience, including prior management experience. Or, Positions overseeing BH team members: Requires a Master's degree or Graduate from an Accredited School of Nursing and 7 years of related experience, including prior management experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. 4 years management experience preferred. Expert knowledge of industry regulations, policies, and standards preferred. Highly advanced clinical knowledge and ability to assess member needs in context of relevant diagnoses, treatment plans and goals, and identify potential gaps in care or risks for readmission or complications preferred. Strong knowledge of healthcare managed care principles preferred. Experience working with providers and healthcare teams to develop appropriate long-term service plans/care plans preferred. Strong knowledge of medication indications and side effects preferred. License/Certification: Positions overseeing RN team members: Current state’s Registered Nurse (RN) license required or Positions overseeing BH team members: Licensed Clinical Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMSW, LMFT, LMHC, and RN with BH experience required Pay Range: $127,300.00 - $236,100.00 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

  • Indiana, PA

  • no content

CDL A Local Delivery Truck Driver - Upto $5000 Sign On Bonus

IMMEDIATELY HIRING – CDL A & CDL B Local Delivery Truck Drivers CDL A Local Delivery Driver Starting pay: $27.94/hour Incentives Earn up to a $5,000 Sign-On Bonus! CDL B Local Delivery Driver Starting pay: $25.85/hour Incentives No appointment? No problem! Walk-ins are always welcome! Stop by anytime Monday through Friday, 9:00 AM – 2:00 PM (EST) RESPONSIBILITIES: Responsible for product delivery to customers in a safe, efficient manner. May load product onto truck Provides good customer service. Collects payments as needed. Picks up inbound product as needed. Pre-trip/Post-trip paperwork, fueling, and logs. Process paperwork and returned product upon completion of the route. Communicates issues to customers and management as needed. QUALIFICATIONS Education/Experience 6 months minimum, 1 year preferred driving experience Route delivery vs OTR preferred High School diploma or GED Class A or B drivers license Driving record that meets Company insurability standards Skills Class A License Attention to detail Good customer service Safety-conscious Good communications skills Commercial Vehicle Drivers must have the ability to read and speak the English language sufficiently to converse with the general public, to understand highway traffic signs and signals in the English language, to respond to official inquiries, and to make entries on reports and records. Ability to lift 75lbs. Good organizational skills Ability to use a hand truck and pallet jacks

  • Bloomfield, PA

  • no content