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Job Details

Field Based Community Health Worker - Multiple Locations


Home Health


Dayton, Ohio, United States

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 Community Health Worker will work as an extension of the local Market Consultation and provider teams by aligning to geographical regions, medical centers and/or physician practices that manage a high volume of membership.

This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 5pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at 5900 Parkwood Pl, Dublin, OH 43016.

Primary Responsibilities:

  • Locate medical screening results/documentation to ensure the closure of gaps in care/suspect medical conditions. The Health Services Coordinator will not conduct any evaluation or interpretation of clinical data and will be supervised by licensed and/or certified staff
  • Activities may include data collection, data entry, quality monitoring, In-Office Assessment submission and chart collection activities
  • Partner with your leadership team, the practice administrative or clinical staff to determine best strategies to support the practice and our members
  • Interaction with members via telephone to assist and support an appropriate level of care. This may include making outbound calls to members and/or providers to assist in scheduling appointments, closing gaps in care or chart collection activities
  • Answer inbound calls from patients and/or providers regarding appointments
  • Assist members in navigating their network of providers by assisting with follow-up and specialist appointments as needed
  • Communicate scheduling challenges or trends that may negatively impact outcomes
  • Optimize customer satisfaction, positively impact the closing of gaps in care and productivity
  • Manage time effectively to ensure productivity goals are met
  • Ability to work independently in a virtual setting. Ability to problem solve, use best professional judgment and apply critical thinking techniques to resolve issues as they arise
  • Adhere to corporate requirements related to industry regulations/responsibilities
  • Maintain confidentiality and adhere to HIPAA requirements
  • Generate and analyze weekly/monthly report data to support provider group success & engagement
  • Regularly review rejected submissions and proactively assist in their resolution.
  • Assist with large group presentations and training provider office staff on Optum portals
  • Establish and build strong relationships with both internal team members and provider office staff to foster a collaborative environment.
  • 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:

  • High School Diploma / GED (or higher)
  • 1+ years of working experience with/and knowledge of HIPAA compliance requirements
  • 1+ years of a healthcare background with medical terminology familiarity of clinical issues
  • Knowledge and experience with EMR/EHR systems
  • Proficient with Microsoft Office suite, including Word, Excel and Outlook
  • Ability to work in the field at least 75% of the time

Preferred Qualifications:

  • 1+ years of working experience with ICD-10 and CPT coding
  • Experience working in a physician, provider, and/or medical office

Soft Skills:

  • Demonstrated ability to identify with a consumer in order to understand and align with their needs and realities
  • Demonstrated effective active listening skills to empathize with the customer in order to develop trust and respect
  • Demonstrated ability to take responsibility for accomplishing goals and recognize what needs to be done in order to achieve a goal(s).
  • Demonstrated ability to turn situations around and go above and beyond to meet the needs of the customer
  • Experience working in a collaborative team environment
  • Exceptional written and verbal communication skills
  • Ability to multi-task and prioritize duties based on customer and business needs
  • Above average problem-solving skills

Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life’s best work.SM

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.