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. In this role, you will serve as a Justice System and Court Liaison and will be the primary point of contact to respond to inquiries from the Health Care Authority (HCA), Child, Youth Families Department (CYFD), Members/families, Caregivers, and Providers, and will work collaboratively to address concerns related to the delivery of and access to services for Children in State Custody (CISC) Members and Child Members in out-of-home placements.

　　This position is full - time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8 - hour shift schedules during our normal business hours of 8am to 5pm. It may be necessary, given the business need, to work occasional overtime. This position is a field - based position with a home - based office. You will work from home when not in the field.

　　If you are located within the state of New Mexico, you will have the flexibility to work remotely* as you take on some tough challenges.

　　Primary Responsibilities:

　　Create a positive experience and relationship with the member

　　Practice cultural sensitivity and cultural competence in daily care

　　Learn and listen to member needs and barriers to help promote self advocating

　　Work with care coordinator to develop a care plan and set goals for member care

　　Collaborating with clinical team of social aspects that might impact treatment plan

　　Proactively engage the member to manage their own health and healthcare

　　Support the member to improve their wellbeing by staying out of the hospital, and attend regular visits to their primary physician

　　As needed, help the member engage with mental health and substance use treatment

　　Support the member to ensure pick-up of their prescriptions

　　Provide member education and health literacy on community resources and benefits to encourage self sufficiency

　　Conduct post discharge activities from hospital facility and support connection to social services

　　Support member to engage in work or volunteer activities, if desired, and develop solider social supports through deeper connections with friends, family, and their community

　　Partner with care team (community, providers, internal staff)

　　Knowledge and continued learning of community cultures and values

　　Conduct Health Risk Assessments (HRA)

　　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.

　　Years of post-high school education can be substituted/is equivalent to years of experience

　　Required Qualifications:

　　1+ years of experience working with New Mexico community resources

　　Lived or work experience with the justice system

　　Knowledge of culture and values of the community

　　Familiarity with the resources available in the community

　　Ability to navigate a PC to open applications, send emails, and conduct data entry

　　Must have a designated workspace inside the home with access to high - speed internet availability

　　Ability to travel locally up to 25% of the time

　　Must reside in the State of New Mexico

　　Preferred Qualifications:

　　CHR/CHW Accreditation

　　2+ years of field - based experience

　　Care management experience

　　Experience working in Managed Care

　　Experience with Justice System or Court System

　　Knowledge and / or experience with behavioral health or substance use disorders

　　Knowledge and training on Social Determinants of Health (SDOH)

　　Knowledge of Medicaid and / or Medicare population

　　Must have lived in the state of New Mexico for 2 years

　　*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

　　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.

　　Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

　　UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.