Become a part of our caring community and help us put health first
 

The Community Health Worker 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 collaboratively 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, etc.

• 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

• Act as a member advocate with providers, community resources, schools, and other entities as needed for support

• Assist members with navigating health care and social service systems and coordinating access to basic needs (e.g. housing, food, income, 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 trustworthy, reliable, non-judgmental, consistent, and accepting member of the members’ multi-disciplinary team

• Support member self-management 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/or 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

• 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.).

• 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, etc. as well as working from home office

• Valid driver's license, car insurance, and access to an automobile

• Intermediate working knowledge using Microsoft Office Programs specifically Teams, Excel, PowerPoint, Outlook and Word

• Exceptional communication & interpersonal skills with the ability to build rapport with internal and external customers and stakeholders

• 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