Community Health Worker

Description
Our Organization
Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 270 centers serving over 250,000 patients. As a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model supporting patients' physical, emotional, and social wellbeing.
At CenterWell Senior Primary Care and Conviva Care Centers, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.
Responsibilities
The Role
This is a unique opportunity to directly connect with patients on the barriers most affecting their ability to engage in the care they need, and subsequently work to find solutions that positively impact their quality of life. We are looking for individuals who are:

• Dedicated to serving at risk populations most in need of additional supports
• Creative problem solvers
• Enthusiastic about working in a fast paced and developing market

Working within an interdisciplinary care team, the Community Health Worker is responsible for proactively engaging patients identified as high-risk and implementing targeted interventions to address social needs and increase access to care.
This role requires an understanding of how socioeconomic stressors can impact ability to engage in healthcare and subsequent health outcomes. Experience will ideally include prior work with patients with behavioral health diagnoses, as well as in navigating local community-based resources and benefit applications.
This role has a mobile presence, involving travel to patients' homes, treatment facilities and community-based settings, and assigned clinics to facilitate and foster connections.
Job Functions

• Develop a wholistic view of patient needs related to Social Determinants of Health
• Identify existing barriers to engagement with necessary resources and supports
• Provide education around maintenance of chronic health conditions, as well as available options for behavioral care and social support
• Serve as liaison between the patient and the direct care providers, assisting in navigating both internal and external systems
• Initiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary team
• Supporting patients' self-determination, motivate patients to meet the health goals they have identified
• Conduct Transitions of Care for Observation stays
• Refer patient to necessary services and supports
  • This field may include but is not limited to: assistance with transportation, food insecurity, navigation of and application for benefits including, Medicaid, HCBS, working to reduce costs associated with prescription medications, organizing schedules of follow up appointments, alleviating social isolation
• Perform all other duties and responsibilities as required

Organizational Responsibilities

• Participate in interdisciplinary review of and coordination around complex patients
• Maintain patient confidentiality in accordance with HIPAA
• Document patient encounters in medical record system in a timely manner
• Follow general policies related to fire safety, infection control and attendance

Required Qualifications

• High School Diploma or equivalent
• Community Health Worker certification, or willingness to complete within one year
• Minimum of 2 years of experience working in human services and navigating community-based resources

Preferred Qualifications

• Bachelor's Degree in applicable discipline
• Familiarity with state Medicaid guidelines and application processes
• Experience working with patients with behavioral health conditions and substance use disorders
• Prior experience conducting home visits and knowledge of field safety practices
• Training as an LPN or LVN
• Training as an EMT or paramedic

Skills/Abilities/Competencies Required

• Ability to multi-task in a fast-paced work environment
• Flexibility to fluidly transition and adjust in an evolving role
• Excellent organizational skills
• Advanced oral and written communication skills
• Strong interpersonal and relationship building skills
• Compassion and desire to advocate for patient needs
• Critical thinking and problem-solving capabilities

Working Conditions
This role has a mobile presence, involving travel to patients' homes, treatment facilities and community-based settings, and assigned clinics to facilitate connections.
Workstyle: Combination in clinic and field, local travel to meet with members
Location: Must reside in Kansas City
Hours: Must be able to work a 40-hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs.
Tuberculosis (TB) screening: 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.
Driver's License, Reliable Transportation, Insurance
This role is part of Humana's Driver safety program and therefore requires an individual to have:

• a valid state driver's license,
• proof of personal vehicle liability insurance with at least 100/300/100 limits,
• and a reliable vehicle.

Benefits
Health benefits effective day 1
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
Scheduled Weekly Hours
40