Community Resource Navigator

About the role

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.

Responsibilities

• 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.
• Aid 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).
• 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.
• 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.
• 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.
• Document all member interactions, activities, and interventions in TruCare or designated systems.

Requirements

• 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 Southeastern/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).
• 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, and 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 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.

Description of Benefits

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

About Us

About Humana: 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.