Community Resource Navigator

Humana • Madison, WI

1d • $41,900 - $56,600 • Remote

About The Position

As a Community Resource Navigator, you will be a trusted partner and advocate for members. You will work remotely to provide personalized support that connects members to community resources, care teams, and services that can make a meaningful difference. You will work with Care Coordinators, registered nurses, providers, and community organizations to help members understand their care plans. You will help members navigate available resources and take practical steps toward improved health and well-being.

Requirements

• 2+ years of experience with community resources, health agencies, or social services (e.g., Area Agency on Aging, DME providers, Meals on Wheels)
• 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
• Minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required for internet service
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Nice To Haves

• Community Health Worker training or certificate or willingness to complete within one (1) year
• Bachelor's degree in social work or related field
• Knowledge and ability to facilitate use of health care system (e.g. primary care and specialty linkages; appointment scheduling etc.)
• 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 or contact them in person when you are unable to contact them
• Assist members in navigating health care and social service systems, including assisting with filling out applications, arranging transportation, scheduling appointments, and accompanying members
• Coordinate access to basic needs such as 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 (SDoH) to the Interdisciplinary Care Team (ICT)
• Complete initial and periodic needs assessments, including barriers, basic needs, strengths, and SDoH
• Help develop and implement member-centered care plans by helping members understand instructions and tailoring communication
• Assess readiness to change and help members 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/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

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level