Community Health Navigator – Field & Remote Support

Humana; Castor (LA); On-site; USD 45,400 - 61,300; Full time

Job summary

Humana seeks a Community Health Worker to support care management for Louisiana Medicaid enrollees, providing non-clinical assessment, coaching, and navigation to community resources. The role blends field and remote interactions to improve care access and adherence.

The CHW engages with providers and community partners, conducts outreach, and helps families manage social determinants of health while supporting enrollees in achieving optimal wellness.

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.)
• Intermediate working knowledge using Microsoft Office Programs
• Strong understanding and respect of all cultures and demographic diversity.
• Strong advocate for members at all levels of care.

Responsibilities

• Work collaboratively with other Humana associates as a member of Humana's Comprehensive Care Support team, including case managers, peer support specialists, housing specialists, and SDOH coordinators.
• Conduct in-person and/or telephonic assessment(s) to understand enrollee care needs, preferences, and socioeconomic barriers and evaluate the home environment.
• Assess enrollee barriers to healthy living and accessing healthcare services and assist enrollees with scheduling physical health and behavioral health (BH) office visits, addressing barriers to appointment attendance.
• Be an enrollee advocate with providers, community resources, schools, and others, including accompanying enrollees to provider office visits as requested.
• Monitor enrollee compliance with their care plan and provide motivational interviewing to support medication and treatment adherence.
• Provide social support to help boost enrollees' morale and sense of self-worth, serving as a, reliable, non-judgmental, consistent, and accepting member of the enrollee's MDT.
• Support enrollee self-management through the provision of culturally appropriate health education and health coaching.
• Attend Humana community events to connect with enrollees and provide education on case management services.
• Conduct research and in-person outreach to locate difficult-to-contact enrollees to increase assessment completion and participation in clinical programs.
• Build and maintain relationships with providers and community resources to support enrollee referrals and implement community assessments to identify community resource gaps.

Skills

Community resources

Microsoft Office

Cultural competence

Member advocacy

Education

Bachelor's Degree in Social Work or related field

Job description

Humana seeks a Community Health Worker to support care management for Louisiana Medicaid enrollees, providing non-clinical assessment, coaching, and navigation to community resources. The role blends field and remote interactions to improve care access and adherence.

The CHW engages with providers and community partners, conducts outreach, and helps families manage social determinants of health while supporting enrollees in achieving optimal wellness.