Community Health Worker

The Community Health Worker contributes to the administration of care management by providing non-clinical support to assess and evaluate member needs, aiming to achieve or maintain optimal wellness. You will guide members and their families toward appropriate resources for their care and wellbeing.

About the role

The Community Health Worker builds visibility and credibility for Humana’s products and services through community engagement, including chats, posts, and interactions. You will engage new community members, strategize methods to grow communities, and facilitate connections among members. This role involves straightforward, moderately complex assignments in a hybrid environment with required in-person visits.

Responsibilities

• Conduct in-person and telephonic non-clinical assessments to understand member care needs, preferences, and socioeconomic barriers, and evaluate the home environment.
• Work collaboratively with Humana’s Care Management Support teams, including care managers and Wellness and Information Navigators.
• Serve as a member of enrollee multi-disciplinary care teams (MDT).
• Assist members with scheduling physical and behavioral health office visits and address barriers to appointment attendance.
• Assess enrollee barriers to healthy living and accessing healthcare services, and arrange necessary social services and supports.
• Act as an enrollee advocate with providers, community resources, schools, and others, including accompanying members to provider office visits.
• Support enrollee compliance with their care plan, medication, and treatment adherence.
• Provide culturally appropriate health education and coaching to support enrollee self-management.
• Serve as a knowledge source for community services and information for members and other Humana associates.
• Attend Humana community events to connect with members and provide education on case management services.
• Develop relationships with providers and community resources to support enrollee identification and referrals.
• Implement community assessments to identify gaps in community resources.

Requirements

• High School Diploma or equivalent.
• Minimum two (2) years of experience with community resources, health agencies, or social services (e.g., Area Agency on Aging, DME providers, Meals on Wheels).
• Must reside in Oklahoma and work full time, traveling to members' locations.
• Intermediate proficiency in Microsoft Office.
• Respect for cultural and demographic diversity.
• Strong written communication skills and advocacy for members at all care levels.

Preferred Qualifications

• Community Health Worker training and/or certificate, or willingness to complete within one (1) year.
• Bachelor’s degree in social work or a related field.
• Familiarity with state Medicaid program guidelines.
• Experience engaging with Medicaid enrollees, including those with physical and behavioral health needs and varied health literacy.
• Fluent in Spanish, French Creole, or Vietnamese.

Work Environment

This role operates in a hybrid environment, combining remote work from home with onsite/home member visits. Mileage reimbursement is provided for work-related travel, including travel from home to the first work location, between client locations during the workday, and from the final work location back home.

Work-at-home requirements include a dedicated space free from ongoing interruptions to protect member PHI/HIPAA information. The self-provided internet service must meet minimum criteria: a download speed of 25 Mbps and an upload speed of 10 Mbps (wireless, wired cable, or DSL connection suggested). Humana reserves the right to require associates to upgrade their internet service if necessary.

Occasional travel to Humana’s offices for training or meetings may be required.

Pay

The pay range for this full-time (40 hours per week) position is $41,900 - $56,600 per year. The range may vary based on geographic location, and individual pay will depend on demonstrated job-related skills, knowledge, experience, education, and certifications.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, including company and personal holidays, paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance.