Community Resource Navigator

Humana•Madison, WI

3d•$41,900 - $56,600•Remote

About The Position

As a Community Resource Navigator, you will work remotely and serve as a trusted partner and advocate for members. You will provide personalized support to connect members with community resources, care teams, and services that can help them overcome barriers and improve their health and well-being. You will collaborate with Care Coordinators, registered nurses, providers, and community organizations to help members understand their care plans, navigate available resources, and take practical steps toward their health goals. The role includes member outreach and engagement; helping members navigate health care and social service systems; coordinating access to basic needs; assessing member needs and barriers; supporting member-centered care planning and healthy behavior changes; connecting members with community-based resources; and documenting interactions and interventions in TruCare or other designated systems. This is a remote position with field work and travel of up to 75% within Southeastern/South Central Wisconsin. The stated workdays/hours are 8:30 a.m.–5:00 p.m. CST, with 40 scheduled hours per week. Occasional travel to Humana offices for training or meetings may be required. The position is patient-facing and requires TB screening. The employee must have a valid state driver's license and personal vehicle liability insurance meeting the stated limits. Mileage reimbursement is provided for eligible work-related travel. Home-based employees must have internet service meeting the stated speed requirements and a dedicated workspace that protects member PHI/HIPAA information.

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.
Proof of personal vehicle liability insurance with at least 100/300/100 limits.
Ability to meet work-at-home internet requirements: minimum 25 Mbps download and 10 Mbps upload; wireless, wired cable, or DSL connection is suggested.
Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information.
Ability to complete TB screening if selected, as this is a patient-facing role.

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 health 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 outreach is unsuccessful.
Help members navigate health care and social service systems, including applications, transportation arrangements, appointment scheduling, and accompaniment.
Coordinate access to food, housing, benefits, transportation, utilities, safety resources, 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.
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 helping members understand 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 all member interactions, activities, and interventions in TruCare or designated systems.