The Community Health Worker/Care Management Support Professional 1 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Management Support Professional 1 work assignments are often straightforward and of moderate complexity.
Humana’s Community Health Workers (CHW) serve as members of our Louisiana Medicaid enrollee centric Comprehensive Care Support teams. The CHW applies both a hands-on approach, as well as telephonic outreach, to enrollee engagement to support case management functions, address social determinants of health (SDOH) needs, improve self-management of chronic conditions, navigate the healthcare system, and promote prevention and health education that is tailored to the needs of the communities we serve. The CHW leverages their knowledge of the community and shared life experience to inform their interactions with enrollees and Humana’s community partners. This role reports to the Manager Care Management and be part of the Medicaid Team.
In this role you will:
•Collaborate with Humana’s Comprehensive Care Support team, including case managers, peer support specialists, housing specialists, and SDOH coordinators.
•Conduct in-person and telephonic assessments to identify enrollee needs, preferences, and socioeconomic barriers, including home environment evaluations.
•Identify and address barriers to healthy living and healthcare access; assist with scheduling physical and behavioral health appointments.
•Advocate for enrollees with providers, community resources, and schools; accompany enrollees to provider visits as needed.
•Monitor care plan compliance and use motivational interviewing to support medication and treatment adherence.
•Provide consistent, non-judgmental social support to enhance enrollees’ morale and self-worth within the multidisciplinary team.
•Deliver culturally appropriate health education and coaching to promote self-management.
•Participate in Humana community events to engage enrollees and educate on case management services.
•Conduct outreach and research to locate hard-to-reach enrollees and increase participation in assessments and clinical programs.
•Build relationships with providers and community resources; conduct community assessments to identify gaps and support referrals.
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, Meals on Wheels etc.)
•Proficient in using electronic information systems and Microsoft Office tools (Word, Outlook, Excel) to document, communicate, and collaborate effectively with internal partners and members. Demonstrates strong keyboard and web navigation skills, provides clear narrative documentation, and builds rapport through exceptional communication and interpersonal abilities.
•Decision making skills regarding own work approach/priorities, and work assignments, standards and resources with the ability to multi-task and work in a very fast-paced environment
•Strong understanding and respect of all cultures and demographic diversity.
•Willing to travel up to 75% of the time to see members
Preferred Qualifications
•Bachelor’s Degree in Social Work or related field
•Community Health Worker training and/or certificate or willingness to complete within one (1) year
•Familiarity with state Medicaid program guidelines
•Experience engaging with Medicaid enrollees, including those with physical health and behavioral health needs and varied health literacy
•Fluent in Spanish, French Creole, or Vietnamese
Work-At-Home Requirements
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 required; wireless, wired cable or DSL connection is required.
•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.
Workstyle: Combination remote work at home and onsite/home member visits
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 and requires approval.
Screening: This role is considered patient 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.
Travel, Driver's License, Transportation, Insurance: Must be willing to travel at least 75% of the time within a 30-40 mile radius of your assigned Region, to conduct field visits with members in your assigned area. Travel requirements may vary based on member tier level.
This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance.
•Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.
Mileage reimbursement is provided for work-related travel. Eligible mileage includes:
•Travel from your home to your first work location of the day.
•Travel between client or assignment locations during the workday.
•Travel from your final work location back to your home.
Additional Information
*Section 1121 of the Louisiana Code of Governmental Ethics states that current or former agency heads or elected officials, board or commission members or public employees of the Louisiana Health Department (LDH) who work directly with LDH’s Medicaid Division cannot be considered for this opportunity. A separation of two (2) or more years from LDH is required for consideration. For more information please visit: Louisiana Board of Ethics (la.gov)
Interview Format
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue 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.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
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 will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$41,900 - $56,600 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.
Under the direction of the Box Office Manager, the Agent Box Office holds responsibility for the complete ticketing process inclusive... ...and resolving issues that arise. Box Office will only be open on show days beginning at 3pm, unless otherwise notified. Core Job Responsibilities...
...Position: SAP FICO Consultant Location: Greensboro, NC***Day 1 Onsite*** Duration: 1 Years Job Description Essential Duties and Job Responsibilities Following is a summary of the essential functions for this job. Other duties may be performed...
...pacingIf people can follow you, trust you, and stay engaged Keep reading. We are building a fitness platform similar to Peloton with both live and recorded sessions. We need on-camera trainers who can come to our set and lead high-quality workout sessions...
...@ aerotek.com or send me a text if interested (***) ***-**** General Production 3rd Shift (4 Openings) Pay: $18.50/hr Shift:... ...Aerotek connects 180,000+ light industrial and skilled trades workers with 14,000+ employers each year, helping our workers navigate...
Position Summary: The Immigration Legal Writer role is an exciting opportunity to grow your career with one of the largest law firms in... ...training and professional development. This position may be remote, but the successful candidatemust reside in a state where we have...