Community Health Worker

Humana • Chittenden, VT

1d • Remote

About The Position

The Community Health Worker 1 (CHW 1) serves as a liaison between health and social services and the community, identifying health-related issues, collecting data, and discussing concerns with the people served. The CHW 1 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. They make decisions regarding own work methods, occasionally in ambiguous situations, and require minimal direction and receive guidance where needed. The CHW 1 follows established guidelines/procedures and understands own work area professional concepts/standards, regulations, strategies and operating standards. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. This role serves as an integral member of care teams, applying a hands-on approach to member engagement, supporting case management functions, and addressing social determinants of health (SDOH) needs. The CHW 1 assists members in improving self-management of chronic conditions, navigating the healthcare system, and promoting prevention and health education tailored to community needs. They leverage knowledge of the community and shared life experiences to inform interactions with members and community partners. Responsibilities include conducting in-person assessments to understand member care needs, preferences, socioeconomic barriers, and evaluating the home environment. They assist members in navigating healthcare and social service systems, coordinating access to basic needs, and scheduling health visits. The CHW 1 advocates for members with various entities, identifies and addresses barriers to healthy living and healthcare access, and supports high-risk member cohorts. They promote and monitor adherence to care plans, provide social support, and conduct culturally appropriate health education and coaching. The role also involves research and in-person outreach to difficult-to-contact members, building relationships with providers and community resources, and traveling for member, provider, and community-based visits. Collaboration with other care support team members and attendance at community events are also key aspects of the position.

Requirements

• Must reside in Michigan or be willing to relocate, with the ability to travel within Wayne or Macomb County.
• 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).
• Intermediate proficiency in Microsoft Office (Teams, Excel, PowerPoint, Outlook, Word).
• Exceptional communication and interpersonal skills for building partnerships with customers and stakeholders.
• Demonstrates ability to manage multiple priorities effectively in a fast‑paced environment.
• Respect for cultural and demographic diversity.
• Strong written communication skills and advocacy for members at all care levels.
• Ability to be screened for Tuberculosis (TB) as part of Humana’s TB screening program.
• Valid state driver's license.
• Maintain personal vehicle liability 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.
• Self-provided internet service with at minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps (wireless, wired cable or DSL connection suggested).
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

• Licensed Practical Nurse (LPN).
• Community Health Worker training or certificate, or willingness to complete within one (1) year.
• Bachelor’s degree in social work or 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.
• Bilingual or Multilingual: English/Spanish, English, Arabic, or Chaldean Neo-Aramaic (must be able to speak, read and write in both languages without limitations and assistance).

Responsibilities

• Serve as a liaison between health and social services and the community, identifying health-related issues, collecting data, and discussing concerns with the people served.
• Interpret and independently determine appropriate courses of action for varied work assignments.
• Make decisions regarding own work methods, occasionally in ambiguous situations, and require minimal direction.
• Follow established guidelines/procedures and understand own work area professional concepts/standards, regulations, strategies and operating standards.
• Serve as an integral member of care teams, applying a hands-on approach to member engagement.
• Support case management functions and address social determinants of health (SDOH) needs.
• Assist members in improving self-management of chronic conditions.
• Navigate the healthcare system and promote prevention and health education tailored to community needs.
• Leverage knowledge of the community and shared life experiences to inform interactions with members and community partners.
• Conduct in-person assessments to understand member care needs, preferences, socioeconomic barriers, and evaluate the home environment.
• Assist members in navigating healthcare and social service systems.
• Coordinate access to basic needs (e.g., housing, food, income, transportation).
• Schedule physical and behavioral health visits.
• Advocate for members with providers, community resources, schools, and others, including accompanying members to provider visits.
• Identify and address barriers to healthy living and healthcare access, ensuring members can attend their appointments.
• Support highest-risk, hardest-to-reach member cohorts, with a focus on members who may have a history of mistrust with the healthcare system.
• Promote and monitor adherence to care plans, providing motivational interviewing to support medication and treatment adherence.
• Provide social support to boost members’ morale and sense of self-worth, serving as a trustworthy, reliable, non-judgmental, consistent, and accepting team member.
• Support member self-management through culturally appropriate health education and coaching.
• Conduct research and in-person outreach to locate difficult-to-contact members to increase assessment completion and participation in clinical programs.
• Build relationships with providers and community resources to support member referrals and implement community assessments to identify resource gaps.
• Travel to conduct member visits, provider visits, and community-based visits as needed to ensure effective program administration.
• Work collaboratively with other team members of the care support teams, including care coordinators, housing specialists, and SDOH coordinators.
• Attend community events to connect with members and provide education on case management services.

Benefits

• Medical benefits
• Dental benefits
• 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 disability
• Long-term disability
• Life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees