Community Health Worker

Humana • Detroit, MI

5d • Hybrid

About The Position

Become a part of our caring community 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. 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), and 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. Use your skills to make an impact

Requirements

• Must reside in Michigan and can 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.
• 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.
• 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.
• Individuals 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

• 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 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), and 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

• 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: Entry Level
• Number of Employees: 5,001-10,000 employees