Community Health Worker

Humana Inc; Illinois; Hybrid; USD 42,000 - 57,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) retirement savings plan

Paid time off

Job summary

Humana Inc. is seeking a Community Health Worker I to bridge health care and social services for members in Illinois. You will conduct in-person assessments, support scheduling, and act as a member advocate with providers and community resources.

You’ll promote adherence, provide health coaching, and work within a multidisciplinary team. This hybrid, full-time role requires at least two years of community resources experience, a valid driver’s license, and strong cultural sensitivity.

Qualifications

• Must reside in Illinois.
• Hybrid role with up to 75% travel to member homes, provider sites, and Chicago/Schaumburg offices.
• Minimum two years’ experience with community resources or social service agencies.
• Valid driver’s license, car insurance, and access to an automobile.
• Ability to multi-task in a fast-paced environment.
• 40-hour work week, Monday–Friday 8:00 AM–5:00 PM; overtime may be requested.

Responsibilities

• Conduct in-person assessments to understand member care needs, preferences, and barriers.
• Assist enrollees with scheduling physical and behavioral health visits and navigate health and social services.
• Advocate with providers and community resources to support members.
• Support adherence to care plans and motivate medication and treatment adherence.
• Provide culturally appropriate health education and coaching; build relationships with providers and community resources.
• Attend Humana community events and conduct outreach to locate hard-to-reach members.

Education

Bachelor's degree in social work or related health field

Job description

Become a part of our caring community The Community Health Worker (CHW) 1 serves as a liaison between health and social services and the community, identifying health-related issues, collecting data, and discussing concerns with the people served. The Community Health Worker 1 works assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.

The Community Health Worker (CHW) 1 serves as a key member of our care teams, applying a hands‑on approach to member engagement. The CHW 1 supports case management functions, addresses social determinants of health (SDOH) needs, improves self‑management of chronic conditions, navigates the healthcare system, and promotes prevention and health education tailored to the needs of the communities we serve. Leveraging their knowledge of the community and shared life experiences, the CHW 1 informs their interactions with members and community partners.

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 Bi‑lingual 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. $41,900 - $56,600 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.