Field Care Coordinator - Sevier & Knox County

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 Sevier and Knox Counties, 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 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: 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 Ability to travel up to 75% within an assigned territory to meet with members and providers Reside in or within a commutable driving distance to Blount County Access to reliable transportation and valid US driver's license Preferred Qualifications: LCSW, LBSW, Master's degree 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

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

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

Field Care Coordinator - Charlottesville, VA

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 Field Care Coordinator is responsible for facilitating, promoting, and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients. Additionally, the care coordinator is responsible for assessing the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports. The Field Care Coordinator collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Field Care Coordinator will be traveling into enrollees' homes, nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care. The Field Care Coordinator actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team and the acute or skilled facility staff, and the enrollees and / or the enrollees' representatives. Field Care Coordinators act as liaison between the Health Plan, the Commonwealth, enrollees, and their families. Field Care Coordinators follow established professional standards of care, Commonwealth guidelines and policy and procedures. This is a field-based position with a home-based office that will travel throughout Charlottesville, VA and surrounding areas. If you are located in commutable distance of the Charlottesville, VA area, you will have the flexibility to work remotely* as you take on some tough challenges. 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 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: Bachelor's degree in Social Work or Human Services (or related field) 3 years of experience in care coordination, behavioral health experience, and/or work in a healthcare environment 3 years of experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers 1 years of experience with MS Office, including Word, Excel, and Outlook Driver's license and reliable transportation and the ability to travel within assigned territory to meet with members and providers Preferred Qualifications: Current and unrestricted Licensed Practical Nurse in the state of Virginia CCM certification Experience working with Medicaid / Medicare population Experience working in team-based care Long term care / geriatric experience Background in Managed Care ACM Certification *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 $24.00 to $43.00 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

Outreach Care Coordinator - Mesa County, CO

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 Organize, collect, review and report physical and behavioral health and social information through member home visits and phone outreach, while demonstrating multicultural sensitivity and effective communication skills with Medicaid members. This position follows established safety protocols in the community setting, as well as established preventive and disease management programs for health promotion and education. Deliver culturally appropriate information regarding the availability of health and community resources that will reduce barriers to care. If you are located in Colorado, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Serves as a consultant to care coordination teams Respect confidentiality and maintain confidences as described in the UHG Employee Handbook and acknowledged through signature by all employees. The ability to maintain confidentiality is a critical and essential component of this position Participate in Interdisciplinary care team meetings as indicated Serve as community liaison and maintain relationships with key individuals in the community and serve as an advocate by coordinating linkages or referrals to improve health, social, and environmental conditions for members Coordinate and perform duties of communicating the mission and role of the organization to community associations, senior groups, ethnic clubs and groups, and churches Serve as the direct personal contact in the community to members who are unable to be reached through phone calls Conduct member assessments Assess the changing needs and condition of the client and communicate this information to all involved Care Coordinators, community partners, physician and other appropriate individuals, according to department policies and procedures Document assessments, client/family response to care coordination interventions at the time of the encounter. Meet departmental standards and deadlines for timely completion of all required documentation and meet current agency productivity standards Educate and assist identified members about behaviors that can enhance their health, successfully navigating the health system Facilitate access to preventive and disease management health services Manage difficult to reach and non-compliant members Develop a plan of management associated with health care goals for each member addressing the diverse needs in a culturally appropriate way Develop and maintain a report system for outcomes Communicate member issues requiring interventions to appropriate departments and providers Maintains confidentiality and uses only the minimum amount of protected health information (PHI) necessary to accomplish job related responsibilities. Maintain confidentiality of patient information Participate in staff meetings, case conferences and in-services. Maintain familiarity with all policies and procedures that impact decisions and care This position requires travel Requires independent, reliable, flexible, and on-demand, transportation at the incumbent's expense for travel between various locations and timely arrival and departure from various locations. If the employee chooses to satisfy this requirement by driving a vehicle, the employee must meet the requirements for Colorado licensure and company requirements for liability insurance coverage 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: Must possess one of the following: Bachelor's degree in a human services field such as Social Work, Social Sciences, Counseling, Child, Family and Community Services, Early Childhood Development, Guidance and counseling, Home Economics - Child Family Services, Human Development Counseling, Human Service Administration, Human Services, Pastoral Care, Pastoral Counseling, Psychology, Public administration, Rehabilitation, Social Services or Sociology Fellow designation from the Academy of Healthcare Management (AHM) 4 years of case management experience 2 years of progressive related experience working with diverse populations, community or faith-based organizations Knowledge of health education, motivational strategies, and an empathetic manner working with the underserved Reliable transportation and the ability to travel up to 25% within assigned territory to meet with members and providers Reside within the state of Colorado Preferred Qualifications: Health care setting experience Knowledge of healthcare business Knowledge of local area Bilingual in English and 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 $24.00 to $43.00 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 RED

Field Care Coordinator - Blount County

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 Blount 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 Ability to travel up to 75% within an assigned territory to meet with members and providers Reside in or within a commutable driving distance to Blount County Access to reliable transportation and valid US driver's license Preferred Qualifications: LCSW, LBSW, Master's degree 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

Field Based Community Health Worker - North Olympic Peninsula Region (Western Washington)

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 the Rural/Tribal Regions (Western Washington). 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 Rural/Tribal Regions (Western Washington) , you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Create a positive experience and relationship with the member Proactively engage the member to manage their own health and healthcare Provide member education on community resources and benefits Support member to engage in work or volunteer activities, if desired, and develop solid social supports 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 a 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 Resident of Washington state Designated workspace inside the home with access to high-speed internet Ability to travel in assigned territory approximately 50-75% of the time Available to work Monday through Friday, 8 AM to 5 PM and open to working some evenings and weekend hours for events 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 HS 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 Bilingual Spanish and English Experience working with tribal 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

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

Field Based Community Health Worker - North Olympic Peninsula Region (Western Washington)

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 the Rural/Tribal Regions (Western Washington). 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 Rural/Tribal Regions (Western Washington) , you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Create a positive experience and relationship with the member Proactively engage the member to manage their own health and healthcare Provide member education on community resources and benefits Support member to engage in work or volunteer activities, if desired, and develop solid social supports 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 a 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 Resident of Washington state Designated workspace inside the home with access to high-speed internet Ability to travel in assigned territory approximately 50-75% of the time Available to work Monday through Friday, 8 AM to 5 PM and open to working some evenings and weekend hours for events 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 HS 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 Bilingual Spanish and English Experience working with tribal 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

Essential Plan Account Manager, Erie County NY

This is an outside/field sales position Base Pay Bonus 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. Working under the direction of the Essential Plan (EP) Sales & Account management and collectively with the Business Development and Community Outreach team, the Sales Account Manager will interface with New York Health Plan to increase marketing synergy and drive overall membership growth. The EP Account Manager is a field-based role that establishes and cultivates strategic business relationships with key sales and market influencers, potential new customers, and related community institutions. The Essential Plan is for New Yorkers between the ages of 19-64. This position requires someone with tenacity to perform sales activities both indoors and outdoors. Function identified will be new Business to Business (B2B) opportunities for the purpose of prospecting and enrolling new Essential Plan eligible including vertical channels (dental, vision, fitness, colleges, trade schools, small businesses, as well as industry sectors identified by your manager) that support EP Growth strategy in key areas in New York. Training on all government programs will be conducted upon hire. If you reside in Erie County, NY or surrounding areas, you'll enjoy the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Enroll eligible members in UHC Essential Plan Build and foster relationships with key accounts (provider offices, CBOs, housing, etc.) The EP Account Manager presents health plan information to providers, business advocacies, potential eligible and responsible for closing sales Serve as point of contact for members to provide excellent service and enrollment experience Lead pipeline management Responsible for meeting or exceeding sales and enrollment expectations within assigned territory Conduct product information presentations in multiple settings, including in-home consultations Function independently and responsibly with minimal need for supervision Track and measure various sales event effectiveness and activities, events, leads & leads progress, sales, appointments, contacts, and relationship progress daily through internal systems Provide input, support and feedback on promotional opportunities, benefits, and other issues Stay informed on UHC operations, provider network, premiums, member services, claims, explanation of benefits, processes and other services and issues to provide community partners, prospects, and members with accurate information, and provide feedback as appropriate Ability to manage multiple priorities including visiting provider offices on a regular basis and following up on leads in a timely fashion Ability to track a schedule to keep appointments on time and information pertaining to those appointments in timely manner Input consumer demographics and interactions into company systems as appropriate Performs other duties as required Demonstrated Skills: Execute excellent communication, interpersonal, time management and organizational skills Excellent relationship building skills Ability to be compassionate while selling Function independently and responsibly with minimal need for supervision Ability to manage multiple priorities as it relates to meeting enrollment goals Ability to communicate complex healthcare information to potential clients 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 Marketplace Certified (Valid NYSOH Certified Application Counselor ID - CAC). If you do not have an active CAC ID or if the ID is not in good standing, you must be willing to obtain this ID within 30 days of hiring 2 years of business-to-business (B2B), Business to consumer (B2C) Direct marketing, outside sales or community outreach experience Intermediate level of proficiency with MS Office (Outlook, Word, Excel, PowerPoint) and CRM (Salesforce) Ability to travel locally up to 100% of time within assigned sales territories in this NY market area Ability to work core business hours, Monday - Friday 8am-5pm and nights and weekends, when required Reside within/commutable distance of their target geography Access to reliable transportation and valid US driver's license with current automobile insurance and good driving history Preferred Qualifications: Bilingual preferred (Russian, Spanish, English, Arabic, French, etc.) Established professional relationships with non-profits, community sources CBO's, religious/faith-based organizations FBO's in designated sales territory Experience working with communities of all different ethnicities, cultural backgrounds, diverse populations and/or underserved communities Demonstrated knowledge of Essential Plan Market Place marketing rules and regulations preferred, training in all lines of businesses will be provided Previous outside sales and territory management experience Act as a team player - work collaboratively with others (both inside the sales unit as well as outside) to achieve goals, relate to others in an open and accepting manner, keep others up to date on information they need, contribute ideas and support decisions made by the team and the organization, treat people with dignity and respect Insured and dependable vehicle *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 $19 - $38 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

Essential Plan Account Manager, Chautauqua County NY

This is an outside/field sales position Base Pay Bonus 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. Working under the direction of the Essential Plan (EP) Sales & Account management and collectively with the Business Development and Community Outreach team, the Sales Account Manager will interface with New York Health Plan to increase marketing synergy and drive overall membership growth. The EP Account Manager is a field-based role that establishes and cultivates strategic business relationships with key sales and market influencers, potential new customers, and related community institutions. The Essential Plan is for New Yorkers between the ages of 19-64. This position requires someone with tenacity to perform sales activities both indoors and outdoors. Function identified will be new Business to Business (B2B) opportunities for the purpose of prospecting and enrolling new Essential Plan eligible including vertical channels (dental, vision, fitness, colleges, trade schools, small businesses, as well as industry sectors identified by your manager) that support EP Growth strategy in key areas in New York. Training on all government programs will be conducted upon hire. If you reside in Chautauqua County, NY or surrounding areas, you'll enjoy the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Enroll eligible members in UHC Essential Plan Build and foster relationships with key accounts (provider offices, CBOs, housing, etc.) The EP Account Manager presents health plan information to providers, business advocacies, potential eligible and responsible for closing sales Serve as point of contact for members to provide excellent service and enrollment experience Lead pipeline management Responsible for meeting or exceeding sales and enrollment expectations within assigned territory Conduct product information presentations in multiple settings, including in-home consultations Function independently and responsibly with minimal need for supervision Track and measure various sales event effectiveness and activities, events, leads & leads progress, sales, appointments, contacts, and relationship progress daily through internal systems Provide input, support and feedback on promotional opportunities, benefits, and other issues Stay informed on UHC operations, provider network, premiums, member services, claims, explanation of benefits, processes and other services and issues to provide community partners, prospects, and members with accurate information, and provide feedback as appropriate Ability to manage multiple priorities including visiting provider offices on a regular basis and following up on leads in a timely fashion Ability to track a schedule to keep appointments on time and information pertaining to those appointments in timely manner Input consumer demographics and interactions into company systems as appropriate Performs other duties as required Demonstrated Skills: Execute excellent communication, interpersonal, time management and organizational skills Excellent relationship building skills Ability to be compassionate while selling Function independently and responsibly with minimal need for supervision Ability to manage multiple priorities as it relates to meeting enrollment goals Ability to communicate complex healthcare information to potential clients 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 Marketplace Certified (Valid NYSOH Certified Application Counselor ID - CAC). If you do not have an active CAC ID or if the ID is not in good standing, you must be willing to obtain this ID within 30 days of hiring 2 years of business-to-business (B2B), Business to consumer (B2C) Direct marketing, outside sales or community outreach experience Intermediate level of proficiency with MS Office (Outlook, Word, Excel, PowerPoint) and CRM (Salesforce) Ability to travel locally up to 100% of time within assigned sales territories in this NY market area Ability to work core business hours, Monday - Friday 8am-5pm and nights and weekends, when required Reside within/commutable distance of their target geography Access to reliable transportation and valid US driver's license with current automobile insurance and good driving history Preferred Qualifications: Bilingual preferred (Spanish) Established professional relationships with non-profits, community sources CBO's, religious/faith-based organizations FBO's in designated sales territory Experience working with communities of all different ethnicities, cultural backgrounds, diverse populations and/or underserved communities Demonstrated knowledge of Essential Plan Market Place marketing rules and regulations preferred, training in all lines of businesses will be provided Previous outside sales and territory management experience Act as a team player - work collaboratively with others (both inside the sales unit as well as outside) to achieve goals, relate to others in an open and accepting manner, keep others up to date on information they need, contribute ideas and support decisions made by the team and the organization, treat people with dignity and respect Insured and dependable vehicle *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 $19.00 to $38.00 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

RN Field Clinical Care Coordinator - Medford, Lexington, Waltham, 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 Field Clinical Care Coordinator, you will be an essential element of an Integrated Care Model by relaying the pertinent information about the members' needs and advocating for the best possible care available and ensuring they have the right services to meet their needs. If you reside within the Medford, Lexington, Waltham, MA market and surrounding areas , you will have the flexibility to work telecommute* as you take on some tough challenges. This is a Field-based role. Expect to spend at least 50% of your time in the field visiting our members in their home. You'll need to be flexible, adaptable and, above all, patient in all types of situations. 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 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 Manage the care plan throughout the continuum of care as a single point of contact Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members 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: Current and unrestricted independent licensure as a Registered Nurse in the state of 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 Ability to travel in assigned regions to visit members in their homes and/or other settings, including community centers, hospitals or providers' offices (to cover Lawrence, Methuen, Haverhill, Andover, Dracut, and surrounding cities) Access to reliable transportation & 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 Experience working in team-based care Background in Managed Care Ability to utilize an Electronic Medical Record or other electronic platforms Bilingual in Cantonese, Mandarin, and Vietnamese 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 is needed for visits (ex. laptop, etc.) Ability to remain stationary for long periods of time to complete computer or tablet work duties Demonstrated ability to work in fast paced environments *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