Care Management Support Professional

Humana; Oklahoma; On-site; USD 45,000 - 61,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) retirement plan

Paid time off

Job summary

Humana is seeking a Care Management Support Professional 1- SDOH to coordinate housing, transportation and other social determinants of health resources for enrollees in Oklahoma. You will work with Care Managers, Community Health Workers, and community partners to connect people with needed services.

The role involves non-clinical surveys, referrals, and supporting care plan adherence while traveling regionally as needed. Remote-optional work with occasional travel to Humana offices is possible.

Qualifications

• 1 year minimum experience in community outreach, engagement, public health or healthcare.
• Must reside in Oklahoma state.
• Decision making on own work priorities and resources.

Responsibilities

• Find community-based resources to meet enrollees' housing, transportation, food insecurity, education, and employment needs.
• Assist Care Managers and Community Health Workers to locate housing resources and address SDOH needs.
• Coordinate referrals between Humana Care Managers, providers, and community organizations.
• Handle calls from Enrollee Services needing resources and refer to Care Management when appropriate.
• Support health screening processes and non-clinical surveys; assist in Care Management services.
• Be a knowledge resource on community services for enrollees and Humana associates.
• Conduct community assessments to identify resource gaps.
• Monitor enrollees' adherence to care plans and support medication adherence.

Skills

Community outreach

Public health

Healthcare

Education

Bachelor’s Degree

Tools

Word

Excel

Outlook

Access

Job description

Become a part of our caring community

Care Management Support Professional 1- SDOH

Become a part of our caring community

Care Management Support Professional 1- SDOH

The Care Management Support Professional 1 [Housing Specialist] contributes to administration of care management. The individual in this role provides non-clinical support to the assessment and evaluation of enrollees' needs and requirements. This support helps achieve and maintain an optimal wellness state. The individual guides enrollees and their families toward resources appropriate for their care and wellbeing, and facilitates interaction with these resources. This role's work assignments are mostly straightforward and of moderate complexity. The Housing Specialist is a regionally based role.

Position Responsibilities

• Find community-based support to meet enrollees' housing, transportation, food insecurity, education, and employment needs, in addition to other SDOH needs.
• Support Care Managers and Community Health Workers to find appropriate community housing resources and to address additional SDOH needs.
• Liaise among Humana Care Managers, providers, and community-based organizations to coordinate referrals for enrollees to community-based services and programs and to foster integrated efforts among all parties.
• Handle calls from Enrollee Services for callers who require resources and who are not participating in Care Management; can refer enrollee to Care Management after initial resource assistance.
• Help with health screening process, unable to reach efforts, conduct non-clinical surveys, and offer Care Management services.
• Serve as a key knowledge source for community services and information for enrollees and other Humana associates.
• Implement community assessments to identify community resource gaps.
• Monitor enrollee compliance with their care plan and provide motivational interviewing to support medication and treatment adherence.
• Support enrollees' self-management skills through the provision of culturally appropriate health education and health coaching
• Attend Humana community events to connect with enrollees and provide education on care management services.
• Build and maintain relationships with providers and community resources to support enrollee identification and referrals.
  
  

Reporting Relationship: You will report directly to the Manager, Care Management.

Required Qualifications

Use your skills to make an impact

• Must reside in the state of Oklahoma
• Minimum of 1 year of experience in community outreach, community engagement, public health/community health or healthcare
• 3 years of Microsoft technical experience in Word, Excel, Outlook
• Decision making skills regarding own work approach/priorities, and work assignments, standards and resources
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  
  

Preferred Qualifications

• Bachelors Degree
• Bilingual
• Microsoft Access experience
  
  

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 suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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.

$45,400 - $61,300 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

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.