Community Health Worker 1

Humana • Evanston, IL

34d • Hybrid

About The Position

The Community Health Worker 1 contributes to the administration of care management by providing non-clinical support to assess and evaluate members' needs and requirements to achieve and/or maintain optimal wellness. This role guides members and families toward and facilitates interaction with appropriate resources for their care and well-being. The work assignments are often straightforward and of moderate complexity. Humana's Community Health Workers (CHW) are members of our Medicaid enrollee-centric Comprehensive Care Support teams. The CHW uses a hands-on approach for 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 tailored to community needs. The CHW leverages their knowledge of the community and shared life experiences to inform interactions with enrollees and Humana's community partners.

Requirements

• 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.
• 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.
• Self-provided internet service 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.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

• 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.

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.

Benefits

• medical, dental and vision benefits
• 401(k) retirement savings plan
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level