Community Resource Navigator

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

Benefits offered by this job

Mileage reimbursement

TB screening program

Flexible work arrangements

Job summary

Humana Inc. is seeking a Community Resource Navigator who will work remotely to connect members with community resources, care teams, and services. You will partner with Care Coordinators, nurses, providers, and community organizations to guide members through care plans and available resources.

The role involves outreach, care coordination, needs assessments, behavioral health support, and partnership development while documenting interactions in TruCare or other systems.

Qualifications

• 2+ years of experience with community resources, health agencies, or social services.
• 1 year of experience working with electronic documentation.
• Ability to travel up to 75%, within Southeast/South Central Wisconsin.

Responsibilities

• Outreach to designated members through face-to-face visits, phone calls, and mail.
• Assist members in navigating health care and social service systems and arrange transportation or appointments.
• Complete needs assessments and help develop member-centered care plans.
• Provide health behavior support including motivation, goal setting, and action planning.

Skills

Community resources

Health agencies

Social services

Education

Bachelor's degree in social work or related field

Job description

Become a part of our caring community Are you passionate about helping people overcome barriers, access the care they need, and build healthier lives? As a Community Resource Navigator, you will be a trusted partner and advocate for members. You will work remotely to provide personalized support that connects members to community resources, care teams, and services that can make a meaningful difference. You will work with Care Coordinators, registered nurses, providers, and community organizations to help members understand their care plans. You will help members navigate available resources and take practical steps toward improved health and well-being.

Member Outreach & Engagement

Conduct outreach to designated members through face‑to‑face visits, phone calls, and mail. Engage members who are difficult to reach or contact them in person when you are unable to contact them.

Care Coordination

Assist members in navigating health care and social service systems, including assisting with filling out applications, arranging transportation, scheduling appointments, and accompanying members. Coordinate access to basic needs such as food, housing, benefits, transportation, utilities, safety, and income supports. Communicate member needs related to prevention, wellness, medical care, behavioral health, care transitions, and Social Determinants of Health (SDoH) to the Interdisciplinary Care Team (ICT).

Assessment & Care Planning

Complete initial and periodic needs assessments, including barriers, basic needs, strengths, and SDoH. Help develop and implement member‑centered care plans by helping members understand instructions and tailoring communication.

Health Behavior Support

Assess readiness to change and help members modify daily routines to support health goals. Provide informal counseling, motivational support, goal setting, and action planning. Support chronic disease management for members and their families.

Community Partnership & Resource Navigation

Identify and follow up on referrals to community‑based resources. Develop partnerships with community organizations, including housing agencies/coalitions, shelters, food programs, and Aging and Disability Resource Centers.

Documentation and Reporting

Use health information technology to link members with services, resources, and the interdisciplinary care team. Document all member interactions, activities, and interventions in TruCare or designated systems. Use your skills to make an impact.

Required Qualifications

• 2+ years of experience with community resources, health agencies, or social services (e.g., Area Agency on Aging, DME providers, Meals on Wheels)
• 1 year of experience working with electronic documentation
• Ability to travel up to 75%, within Southeast/South Central Wisconsin

Preferred Qualifications

• Community Health Worker training or certificate or willingness to complete within one (1) year
• Bachelor's degree in social work or related field
• Knowledge and ability to facilitate use of health care system (e.g. primary care and specialty linkages; appointment scheduling etc.)
• Experience with health education, promotion and wellness, chronic disease prevention and management and knowledge of health condition‑specific treatment or management
• Bilingual skills

Additional Information

Workstyle: Field Travel: Up to 75%

Workdays/Hours- 8:30-5pm (CST)

Driving: This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits. Mileage reimbursement is provided for work-related travel.

Eligible mileage includes:

• Travel from your home to your first work location of the day.
• Travel between client or assignment locations during the workday.
• Travel from your final work location back to your home.

TB Statement: This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

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

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

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.