Community Resource Navigator

Humana•Madison, WI

1d•Remote

About The Position

The Community Resource Navigator works remotely as a trusted partner and advocate for members, providing personalized support to connect them with community resources, care teams, and services. The role collaborates with Care Coordinators, registered nurses, providers, and community organizations to help members understand care plans, navigate available resources, and take practical steps toward improved health and well-being. The position involves member outreach and engagement, care coordination, needs assessment and care planning, health behavior support, community partnership development, and documentation. The role is a field-travel position requiring travel of up to 75% within Southeastern/South Central Wisconsin. Work hours are 8:30 a.m.–5:00 p.m. Central Time, with 40 scheduled hours per week. The position is remote, though occasional travel to Humana offices for training or meetings may be required. A valid state driver's license and personal vehicle liability insurance are required, and mileage reimbursement is provided for eligible work-related travel. As a patient-facing role, it is subject to Humana's TB screening program.

Requirements

At least 2 years of experience with community resources, health agencies, or social services.
At least 1 year of experience working with electronic documentation.
Ability to travel up to 75% within Southeastern/South Central Wisconsin.
Valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
For home work, self-provided internet service with at least 25 Mbps download and 10 Mbps upload speed.
Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information.

Nice To Haves

Community Health Worker training or certificate, or willingness to complete it within one year.
Bachelor's degree in social work or a related field.
Knowledge and ability to facilitate use of the health care system, including primary care and specialty linkages and appointment scheduling.
Experience with health education, promotion and wellness, chronic disease prevention and management, and knowledge of condition-specific treatment or management.
Bilingual skills.

Responsibilities

Conduct outreach to designated members through face-to-face visits, phone calls, and mail.
Engage members who are difficult to reach, including contacting them in person when other attempts are unsuccessful.
Help members navigate health care and social service systems, including filling out applications, arranging transportation, scheduling appointments, and accompanying members.
Coordinate access to basic needs and supports, including 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 to the Interdisciplinary Care Team (ICT).
Complete initial and periodic needs assessments covering barriers, basic needs, strengths, and Social Determinants of Health.
Help develop and implement member-centered care plans by explaining instructions and tailoring communication.
Assess members' readiness to change and help them 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 and coalitions, shelters, food programs, and Aging and Disability Resource Centers.
Use health information technology to link members with services, resources, and the interdisciplinary care team.
Document member interactions, activities, and interventions in TruCare or designated systems.