Humana
Location
Naples, FL | United States
Job description
Become a part of our caring community and help us put health first
The Field Community Health Worker, (Care Management Support Professional 1), contributes to the administration of Care Management and Utilization Management. The individual in this role provides non-clinical support to the assessment and evaluation of member's 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 collaborate with Case Managers (CMs) and Utilization Management (UM) Nurses to address co-occurring physical health, behavioral health, and social factors affecting members. The individual improve members' understanding of and ability to self manage their chronic conditions and Social Determinants of Health (SDoH) and work to reduce disparities in outcomes associated with chronic conditions and SDOH.
This position is a field-based role and requires 80% travel, about 4 days weekly.
Must reside in one of the following Regions/Counties:
Region 6: Hillsborough
Region 8: Collier
Region 11: Miami-Dade
The Field Community Health Worker, (Care Management Support Professional 1), builds visibility and credibility of Humana's products and services throughout the community via chats, posts, and interactions. The individual in this role engages new community members and strategizes methods to scale communities and drive connections among all community members. The Community Health Worker understands 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 research and in-person outreach to locate difficult-to-contact enrollees to increase assessment completion and participation in clinical programs
Conduct in-person non-clinical assessments to understand enrollee 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
Serve as a member of enrollee multi-disciplinary care teams (MDT) as requested
Assist enrollees 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 enrollees to provider office visits as requested
Locate enrollees when they miss appointments to determine the reason and problem-solve to address barriers to care
Monitor enrollee compliance with their care plan and provide motivational interviewing to support 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 enrollees and other Humana associates
Attend Humana community events with the Community Engagement team as requested to connect with enrollees and provide education on case management services
Build and maintain relationships with providers and community resources to support enrollee identification and referrals
Required Qualifications
Minimum 3 years of field experience conducting provider facility and home visits such as case management, discharge planning, crisis intervention and member education for pediatric through geriatric acute care
Knowledge of and ability to navigate community resources
Experience working with people who have SDoH challenges
Become a Certified Community Health Worker (CHW) within 18-months from hire date
Proficient with MS Office, navigating multiple systems and platforms and general technical skills to troubleshoot and resolve within a remote environment.
Ability to manage multiple priorities in a fast-paced environment
Transportation: This role is part of Humana's Driver safety program and therefore requires:
Possession of a valid driver's license and access to a reliable automobile
Proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits. to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.
Work at Home Guidance To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates 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
Associates 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 associates 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
TB and AHCA: This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program.
If selected for this role, you will be required to be screened for TB.
AHCA Fingerprint Required.
Preferred Qualifications
1-year nonclinical Case Management experience, Social Work support
Bi-Lingual (English/Spanish/Creole)
Medicaid Program experience
Managed care experience
Experience working with Chronic homelessness, Social Determinants of Health (SDoH)
Experience working with members with medical and mental health co-morbidities
First AID/CPR Certified
Additional Information
Workstyle: Field Based role
Locations:
Region 6: Hillsborough
Region 8: Collier
Region 11: Miami-Dade
Schedule: Monday through Friday 8:00-5:00 PM Eastern
Travel: 80% travel, or 4 days weekly
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.
Language Assessment Any Humana employee who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
SSN Alert Statement
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana's secure website.
Benefits 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:
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, Parental and caregiver leave, Employee charity matching program, Network Resource Groups (NRGs), and Career development opportunities.
#L1-Field
Scheduled Weekly Hours
40
About usHumana 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 Humana to 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.
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