Care Management Community Health Worker

Become a part of our caring community and help us put health first
The Community Health Worker contributes to the administration of Care Management. The individual in this role provides non-clinical support to the assessment and evaluation of member' needs and requirements to achieve or maintain optimal wellness by guiding member/families toward and facilitating interaction with appropriate resources for their care and wellbeing. Community Health Worker assignments are typically straightforward and of moderate complexity.
Position Responsibilities:

• Builds visibility and credibility of Humana's products and services throughout the community via chats, posts, and interactions.
• Engages new community members and strategizes methods to scale communities and drive connections among all community members.
• The Community Health Worker understands their own work area professional concepts and standards, regulations, strategies, and operating standards. This individual makes decisions about their own work approach and priorities and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.
• Conduct in-person and telephonic non-clinical assessments to understand member care needs, preferences, and socioeconomic barriers, and evaluate the home environment as needed.
• Work collaboratively with other Humana associates as a member of Humana's Care Management Support teams, including care managers and Wellness and Information Navigators
• Serve as a member of enrollee multi-disciplinary care teams (MDT) as requested.
• Assist member with scheduling physical health and behavioral health office visits and addressing barriers to appointment attendance.
• Assess enrollee barriers to healthy living and accessing healthcare services and arrange necessary social services and supports.
• Act as an enrollee advocate with providers, community resources, schools, and others, including accompanying member to provider office visits as requested.
• Support enrollee compliance with their care plan, medication, and treatment adherence.
• Support enrollee self-management through the provision of culturally appropriate health education and coaching.
• Serve as a key knowledge source for community services and information for member and other Humana associates.
• Attend Humana community events to connect with member and provide education on case management services.
• Build and maintain relationships with providers and community resources to support enrollee identification and referrals.
• Implement community assessments to identify community resource gaps.

Use your skills to make an impact

• REQUIRED QUALIFICATIONS
  
  • Minimum two (2) years prior experience working with community resources, Community Health agencies/social service agencies (Area Agency on Aging, DME providers, Meal on Wheels etc.)
  • Minimum 1-year professional experience.
  • Decision making skills regarding own work approach/priorities, and work assignments, standards, and resources.
  • Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
  • Ability to multi-task and work in a very fast-paced environment
  • Comprehensive knowledge of Microsoft Office Suite to include Word, Excel, PowerPoint and Access
  • This role is considered member facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
  • Must reside in the state of Oklahoma
  • Travel within the state is expected to meet with members.
• Preferred Qualifications
  
  • Associate degree
  • Related clinical licensure or certification
  • Experience with behavioral change, health promotion, coaching and wellness.
  • Bilingual (Spanish, Native Tribal, Vietnamese, or other)
  
  ADDITIONAL INFORMATION
  
  • Workstyle: This is a remote position
  
  Our Benefits
  Health benefits effective day 1. Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
  
  • Paid time off, holidays, volunteer time and jury duty pay, Recognition pay.
  • 401(k) retirement savings plan with employer match.
  • Tuition assistance, Scholarships for eligible dependents.
  • Parental and caregiver leave.
  • Employee charity matching program.
  • Network Resource Groups (NRGs).
  • Career development opportunities.
  
  Work at Home Criteria
  To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
  
  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
  
  Interview Format
  As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
  Pay Range
  The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
  $44,200 - $55,000
  This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Scheduled Weekly Hours
40
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humanato take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.