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Community Health Worker - Medically Fragile - Remote in New Mexico
Community Health Worker - Medically Fragile - Remote in New Mexico-May 2024
Albuquerque
May 12, 2025
ABOUT UNITEDHEALTH GROUP
With offices around the world, UnitedHealth Group's headquarters are located in the Minneapolis metropolitan area.
10,000+ employees
Healthcare
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About Community Health Worker - Medically Fragile - Remote in New Mexico

  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 most of their time in the community engaging directly with members. In this role, you will serve as a I/DD and Medically Fragile Services Liaison . You will be the primary point of contact to work collaboratively with Members/families, Caregivers, and Providers, to address and respond to concerns related to the delivery of and access to services for Members enrolled in the Developmental Disability 1915(c) Waiver or the Medically Fragile 1915(c) Waiver.

  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

  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 solid 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)

  Partner with care team and other stakeholders (school leaders, The Alliance for school-based health centers, community, providers, internal staff)

  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:

  Knowledge of culture and values of the community

  Familiarity with the resources available in the community

  Familiarity with the Developmental Disability 1915(c) Waiver or the Medically Fragile 1915(c) Waiver

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

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

  Ability to travel locally up to 25% of the time

  Reside in the State of New Mexico

  Preferred Qualifications:

  CHW Accreditation

  2+ years of field - based experience working with youth and children

  Experience working in Managed Care

  Experience with the Developmental Disability 1915 © Waiver or the Medically Fragile 1915 © Waiver

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

  Knowledge of Medicaid and/or Medicare population

  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.

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