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

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 Care Management Support Professional 1 work assignments are often straightforward and of moderate complexity.

Humana’s Community Health Workers (CHW) serve as members of our Louisiana Medicaid enrollee centric Comprehensive Care Support teams. The CHW applies both a hands-on approach, as well as telephonic outreach, to enrollee engagement to support case management functions, address social determinants of health (SDOH) needs, 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, peer support specialists, housing specialists, and SDOH coordinators
• Conduct in-person and/or telephonic assessment(s) to understand enrollee care needs, preferences, and socioeconomic barriers and evaluate the home environment
• Assess enrollee 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 an enrollee advocate with providers, community resources, schools, and others, including accompanying enrollees to provider office visits as requested
• Monitor enrollee compliance with their care plan and provide motivational interviewing to support medication and treatment adherence
• Provide social support to help boost enrollees’ morale and sense of self-worth, serving as a trustworthy, reliable, non-judgmental, consistent, and accepting member of the enrollee’s MDT
• Support enrollee self-management through the provision of culturally appropriate health education and health coaching
• Attend Humana community events to connect with enrollees and provide education on case management services
• Conduct research and in-person outreach to locate difficult-to-contact enrollees to increase assessment completion and participation in clinical programs
• Build and maintain relationships with providers and community resources to support enrollee referrals and implement community assessments to identify community resource gaps

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.)
• 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.
• Strong written communication skills and a strong advocate for members at all levels of care.

Preferred Qualifications

• Bachelor’s Degree in Social Work or related field
• Community Health Worker training and/or certificate or willingness to complete within one (1) year
• Familiarity with state Medicaid program guidelines
• Experience engaging with Medicaid enrollees, including those with physical health and behavioral health needs and varied health literacy
• Fluent in Spanish, French Creole, or Vietnamese
• Residing in the following Parishes: Winn, LaSalle, Natchitoches, Bienville, Jackson, Caldwell

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 required.
• Satellite, cellular and microwa