Become a part of our caring community and help us put health firstHumana Healthy Horizons in Virginia is looking for Community Health Workers to contribute to the administration of care management. They provide non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Community Health Worker’s work assignments are often straightforward and of moderate complexity.Community Health Workers (CHW) serves as members of our Medicaid enrollee centric Comprehensive Care Support teams. The CHW applies a hands-on approach to enrollee engagement to support case management functions, address health related social needs (HRSN) to improve self-management of chronic conditions, navigate the healthcare system, and promote prevention and health education that is tailored to the needs of the communities we serve. The CHW leverages their knowledge of the community and shared life experience to inform their interactions with enrollees and Humana’s community partners.
Works collaboratively with other Humana associates as a member of Humana’s Comprehensive Care Support team, including case managers, housing specialists, and HRSN coordinators.
Conducts in-person assessment(s) to understand member care needs, preferences, and socioeconomic barriers and evaluate the home environment.
Assesses member barriers to healthy living and accessing healthcare services and assist enrollees with scheduling physical health and behavioral health (BH) office visits, addressing barriers to appointment attendance.
Acts as a member advocate with providers, community resources, schools, and others, including accompanying members to provider office visits as requested.
Assists member with navigating health care and social service systems and coordinate access to basic needs (e.g. housing, food, income, transportation).
Promotes and monitors member adherence with their care plan and provide motivational interviewing to support medication and treatment adherence.
Provides social support to help boost member’s morale and sense of self-worth, serving as a trustworthy, reliable, non-judgmental, consistent, and accepting member of the member’s multi-disciplinary team.
Supports member self-management through the provision of culturally appropriate health education and health coaching.
Attends Humana community events to connect with members and provide education on case management services.
Conducts research and in-person outreach to locate difficult-to-contact members to increase assessment completion and participation in clinical programs.
May assist with Health Risk Screenings (MMHS).
Builds and maintains relationships with providers and community resources to support member referrals and implement community assessments to identify community resource gaps.
Supports the implementation of Humana’s Readmission Prevention and ED Diversion program.
Use your skills to make an impactRequired Qualifications
Must reside in the Commonwealth of Virginia.
Minimum two (2) years prior experience working with community resources, community health agencies/social service agencies (Area Agency on Aging, DME providers, Meals on Wheels etc.).
Intermediate working knowledge using Microsoft Office Programs specifically Teams, Excel, PowerPoint, Outlook and Word.
Exceptional communication & interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
Decision making skills regarding own work approach/priorities, and work assignments, standards and resources.
Ability to multi-task and work in a very fast-paced environment.
Strong understanding and respect of all cultures and demographic diversity.
Strong written communication skills and a strong advocate for members at all levels of care.
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.
Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families.
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. Individual 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.
Preferred Qualifications
An active unrestricted LPN (Licensed Practical Nurse) license in the Commonwealth of Virginia.
Bachelor’s degree in social work or a related field.
Community Health Worker training and/or certificate or willingness to complete within one (1) year.
Familiarity with state Medicaid program guidelines.
Experience engaging with Medicaid enrollees, including those with physical health and behavioral health needs and varied health literacy.
Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance. See “Additional Information” for more information.
Additional information
Workstyle: Field - This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.
Travel: 50 - 75% field interactions with members, and their families and providers. May need to attend onsite meetings occasionally in Humana Healthy Horizons office in Glen Allen, VA.
Workdays and Hours: Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST).
Language Assessment Statement: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
WAH Internet StatementTo ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Interview FormatAs part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.Scheduled Weekly Hours40Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$41,900 - $56,600 per yearDescription of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our 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.About usHumana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.Equal Opportunity EmployerIt is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=HumanaWebsite.