Bilingual English and Spanish Community Health Worker – El Paso, TX

Cuando se trata de salir adelante y tienes la voluntad de ganar, vamos a llamarlo gran potencial de carrera! Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At UnitedHealth Group, we want our customers to get those answers by speaking to one of our Bilingual Representatives. If you’re fluent in English and Spanish, we can show you how to put all of your skills, your passions and your energy to work in a fast – growing environment. 

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

The Service Coordinator Level 3 job role is dedicated to maximizing each member’s health, well-being, and independence. This role will focus on person-centered care coordination and will review member’s services and supports needs to assure timely community-based Long-Term Services and Supports (LTSS) are identified as needed to prevent, delay, or reduce the progression of chronic conditions and the need for institutionalization and to maintain the member safely in the community. Service Coordination is a collaborative practice that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the member’s needs. It is characterized by advocacy, communication and resource management and promotes quality and cost-effective interventions and outcomes. 

The Service Coordination process is holistic in its coverage of the member’s situation and addresses medical, physical, behavioral, emotional, financial, psychosocial, and other needs, as well as that as the support system. The Service Coordinator Level 3will focus principally on care coordination of assigned members and perform contractual outreach to assigned Level 3 Star+Plus members. As well as provide administrative support Level 1 and 2 Service Coordination support (RN and SW) as identified. The Level 3 Service Coordinator will only perform telephonic assessments. 

This position is full time Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am – 5:00 pm MST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 1145 Westmoreland Dr. El Paso, TX 79925.

We offer weeks of paid training. The hours of training will be based on your schedule or will be discussed on your first day of employment .

    

Primary Responsibilities:

• Assess, plan, and implement care strategies that are individualized for each member and directed toward the most appropriate, lease restrictive level of care
• Utilize both company and community-based resources to establish a safe and effective case management plan for members
• Collaborate with member, family, and healthcare providers to develop an individualized plan of care
• Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services
• Manage care plan throughout the continuum of care as a single point of contact
• Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
• Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the healthcare team
• Understand insurance products, benefits, coverage limitations, insurance, and governmental regulations as it applies to the health plan
• Monitor services being delivered to ensure timeliness, appropriateness, and satisfaction in meeting Member needs
• Reports medically complex cases to appropriate roles as necessary for review and problem solving
• Provides administrative support for care coordination Level 1 and Level 2 Service
• Coordinators as identified
• Coordinates care and efficient utilization of health care resources for patients identified in the Starplus program through communication with other members of the health care team, including physician offices, social workers, nurses, and other multidisciplinary team members as appropriate to obtain optimal outcomes for members
• Refers member to disease management team
• Maintains status on telephonic Service Coordination phone calls from the members and/or LARs to meet regulatory requirements
• Ensure thorough knowledge of the Star+Plus contract and meet all Service Coordination contract requirements

  

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High school diploma or GED or equivalent work experience
• Must be 18 years of age or older
• Direct experience with the ABD/SSI population in 3 of the last 5 years. 
• 4+ years of experience working within the community health setting in a health care role
• 1+ years of experience working with MS Word, Excel, and Outlook
• Experience in long-term care, home health, hospice, public health or assisted living
• Experience in electronic charting
• Bilingual in English and Spanish
• Knowledge of specific case management processes, and person-centered care practice
• Knowledgeable of all clinical resources available to patients both inpatient and outpatient
• Verbal and written communication skills
• Data entry and Word processing skills
• Must be willing to work on-site at the following location: 1145 Westmoreland Dr. El Paso, TX 79925
• Must reside in El Paso, TX
• Ability to work Monday – Friday, 8:00am -5:00 pm MST

  

Preferred Qualifications:

• Experience as a case management support staff, a customer service representative in a medical office or health plan, utilization review assistant, or an LTSS coordinator with DADS or DSHS 
• Experience in a managed care environment 
• Service coordination or case management experience 
• Experience with the State of Texas STAR+PLUS program or similar programs dealing with SSI and disabled adults 
• Medicare/Medicaid dual population 

  

The hourly range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

  

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.

  

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