Community Health Worker

Humana Inc; Chicago (IL); Hybrid; USD 46,000 - 62,000; Full time

Benefits offered by this job

Medical, dental, and vision benefits

401(k) retirement savings plan

Paid time off and holidays

Job summary

Humana Inc. is seeking a Community Health Worker (Care Management Support Professional 1) to provide non-clinical support in care management for Medicaid enrollees in Illinois. The role focuses on addressing social determinants of health, navigating healthcare systems, and promoting preventive health through education and coaching.

Work is hybrid with travel to member homes and Humana offices. You will collaborate with case managers and community partners to meet member needs and improve

Qualifications

• Two years of experience working with community resources or social service agencies.
• Strong interpersonal and cross-cultural communication skills.
• Ability to navigate complex systems and advocate for enrollees.
• Willingness to travel up to 75% and work hybrid.
• Must reside in Illinois and hold a valid driver’s license.

Responsibilities

• Collaborate with case managers, housing specialists, and SDOH coordinators to assess member needs.
• Assist enrollees with scheduling doctor visits and accessing social services.
• Provide health education, coaching, and motivational interviewing to support adherence to care plans.
• Engage with providers and community resources to coordinate referrals and services.
• May conduct in-person assessments and outreach to locate hard-to-reach members.

Skills

Community resources experience

Cultural competence

Multi-tasking

Communication skills

Education

Bachelor's degree in social work or related health field

CHW training or certificate

Job description

Become a part of our caring community 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 Community Health Worker's work assignments are often straightforward and of moderate complexity. Humana's Community Health Workers (CHW) serve as members of our Medicaid enrollee centric Comprehensive Care Support teams. The CHW applies a hands-on approach to enrollee engagement to support case management functions, address social determinants of health (SDOH) to 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.

Essential Functions and Responsibilities

• Work with other Humana associates as a member of Humana's Comprehensive Care Support team, including case managers, housing specialists, and SDOH coordinators, ED Liaison, Redetermination Specialist.
• Conduct in-person assessment(s) to understand member care needs, preferences, and socioeconomic barriers and evaluate the home environment.
• Assess member 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 the member advocate with providers, community resources, schools, and other entities for support.
• Assist members with navigating health care and social service systems and coordinating access to basic needs (e.g. housing, food, income, and transportation).
• Promote and monitor member adherence with their care plan and provide motivational interviewing to support medication and treatment adherence.
• Provide social support to help boost members' morale and sense of self-worth, serving as a reliable, non-judgmental, consistent, and accepting member of the members' multi-disciplinary team.
• Support members through the provision of culturally appropriate health education and health coaching.
• Attend Humana community events to connect with members and provide education on case management services.
• Conduct research and in-person outreach to locate difficult-to-contact members to increase assessment completion and participation in clinical programs.
• May assist with Health Risk Screenings (HRS) and Welcome Calls.
• Build and maintain relationships with providers and community resources to support member referrals and implement community assessments to identify community resource gaps.
• Support the implementation of Humana's Readmission Prevention and ED Diversion program.
• Other duties as assigned.
• Use your skills to make an impact.

Required Qualifications

• Must reside in Illinois.
• This is a hybrid role and may require up to 75% travel to member's homes, provider organizations, Humana office in Chicago/Schaumburg as well as working from home office.
• 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).
• Valid driver's license, car insurance, and access to an automobile.
• Decision making skills regarding own work approach/priorities, and work assignments, standards and resources.
• Ability to multi-task and work in a very fast-paced environment.
• Strong understanding and respect of all cultures and demographic diversity.
• 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.

Preferred Qualifications

• Bachelor's degree in social work or related health field
• Community Health Worker training and/or certificate
• Familiarity with state Medicaid program guidelines
• Experience engaging with Medicaid enrollees, including those with physical health and behavioral health needs and varied health literacy

Additional Information

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.

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.

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. $46,100 - $62,300 per year

Description of Benefits

• 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
• 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.