Community Health Worker - Florida

At United Healthcare, 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.

This position will be the primary care manager for members with complex medical or behavioral needs who aren't otherwise managed by the team's clinicians. The CHW works assertively to locate and engage members in the community, develops individualized plans of care that focus on the member's definition of success, and identifies and overcomes barriers to goal achievement, including SDOH barriers. The position works in collaboration with the interdisciplinary clinical care management team (Pod) to advance interventions aligned with a member's readiness to change.

CHWs approach their member work with an understanding of how inequities drive health disparities and promote health equity.

Working

Schedule:

Monday through Friday, 8 am to 5 pm. This is a field‑based position with a home‑based office; you will work from home when not in the field.

Locations: Within the following counties of Florida:
Alachua, Bradford, Citrus, Miami Dade, Monroe, Columbia, Dixie, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee, Union, Baker, Clay, Duval, Flager, Nassau, St Johns and Volusia.

Local travel up to 10% and mileage is reimbursed at the current government rate.

• Partner with clinical care management team to manage complex members in the community.
• Locate and engage members in the community.
• Conduct screenings face‑to‑face or telephonically to assess member medical, behavioral, functional, cognitive, and psychosocial needs (health risk assessment).
• Research, locate, and make referrals to community resources to address member‑specific care or socioeconomic needs; follow up to confirm services are received.
• Perform targeted activities and provide education to support HEDIS/STAR gap closure, including scheduling, reminding and verification of appointments to receive specific services.
• Proactively engage the member to manage their care, provide education and coaching to support self‑management of needs and health promotion as outlined in the care plan.
• Partner and collaborate with internal care team, community partners, and providers.
• Consult with clinical team based on defined triggers.
• Support identification of and coordination to enable Medicaid benefits for care needs.
• Assist member in development of personal wellness plan / health crisis plan.

• 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 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.).

• High school diploma / GED.
• 3+ years of experience working within the community health setting in a healthcare role.
• 2+ years of experience working within the local community, with intermediate knowledge of community culture and values and familiarity with available resources.
• Intermediate proficiency with Microsoft applications.
• Access to reliable transportation to travel to client and/or patient sites within a designated area.
• Ability to travel up to 10% of the time.
• Access to a designated quiet workspace in your home with the ability to secure Protected Health Information and a location that can receive United Health Group‑approved high‑speed internet service.

• Bachelor's degree (or higher) in Social Work or related field.
• LPN (Licensed Practical Nurse) licensure or CNA / HHA.
• Bilingual in Spanish.
• Community Health Worker (CHW) accreditation.
• Experience working in team‑based care.
• Exp…