Community Health Worker

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 compensatio