Community Health Worker

Humana

6d • Remote

About The Position

Become a part of our caring community and help us put health first Must reside in Tidewater Region- Va. Beach, Norfolk, Chesapeake, Portsmouth. Humana Healthy Horizons in Virginia is looking for Community Health Workers to contribute to the administration of care management. They provide 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. Community Health Workers (CHW) serves 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 health related social needs (HRSN) 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. Works collaboratively with other Humana associates as a member of Humana’s Comprehensive Care Support team, including case managers, housing specialists, and HRSN coordinators. Conducts in-person assessment(s) to understand member care needs, preferences, and socioeconomic barriers and evaluate the home environment. Assesses 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. Acts as a member advocate with providers, community resources, schools, and others, including accompanying members to provider office visits as requested. Assists member with navigating health care and social service systems and coordinate access to basic needs (e.g. housing, food, income, transportation). Promotes and monitors member adherence with their care plan and provide motivational interviewing to support medication and treatment adherence. Provides social support to help boost member’s morale and sense of self-worth, serving as a trustworthy, reliable, non-judgmental, consistent, and accepting member of the member’s multi-disciplinary team. Supports member self-management through the provision of culturally appropriate health education and health coaching. Attends Humana community events to connect with members and provide education on case management services. Conducts 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 (MMHS). Builds and maintains relationships with providers and community resources to support member referrals and implement community assessments to identify community resource gaps. Supports the implementation of Humana’s Readmission Prevention and ED Diversion program. Use your skills to make an impact

Requirements

• Must reside in the Tidewater Region of the Commonwealth of Virginia in the counties/independent cities of: Virginia Beach, Norfolk, Chesapeake and Portsmouth
• 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.
• 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.
• Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families.
• This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance.
• Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Nice To Haves

• An active unrestricted LPN (Licensed Practical Nurse) license in the Commonwealth of Virginia.
• Bachelor’s degree in social work or a 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.
• Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance.

Responsibilities

• Works collaboratively with other Humana associates as a member of Humana’s Comprehensive Care Support team, including case managers, housing specialists, and HRSN coordinators.
• Conducts in-person assessment(s) to understand member care needs, preferences, and socioeconomic barriers and evaluate the home environment.
• Assesses 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.
• Acts as a member advocate with providers, community resources, schools, and others, including accompanying members to provider office visits as requested.
• Assists member with navigating health care and social service systems and coordinate access to basic needs (e.g. housing, food, income, transportation).
• Promotes and monitors member adherence with their care plan and provide motivational interviewing to support medication and treatment adherence.
• Provides social support to help boost member’s morale and sense of self-worth, serving as a trustworthy, reliable, non-judgmental, consistent, and accepting member of the member’s multi-disciplinary team.
• Supports member self-management through the provision of culturally appropriate health education and health coaching.
• Attends Humana community events to connect with members and provide education on case management services.
• Conducts 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 (MMHS).
• Builds and maintains relationships with providers and community resources to support member referrals and implement community assessments to identify community resource gaps.
• Supports the implementation of Humana’s Readmission Prevention and ED Diversion program.

Benefits

• Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees