The Community Health Worker contributes to the administration of Care Management and Utilization Management. The individual in this role provides non-clinical support to the assessment and evaluation of member’s needs and requirements to achieve or maintain optimal wellness by guiding member/families toward and facilitating interaction with appropriate resources for their care and wellbeing. Community Health Worker collaborate with Case Managers (CMs) and Utilization Management (UM) Nurses to address co-occurring physical health, behavioral health, and social factors affecting members. The individual improve members’ understanding of and ability to self-manage their chronic conditions and Social Determinants of Health (SDoH) and work to reduce disparities in outcomes associated with chronic conditions and SDOH.

Responsibilities

This is a field-based position requiring approximately 90% travel to members’ homes/provider offices, medical facilities, etc. within the designated area. Candidates must reside within a 25 mile radius of Daytona Florida area to be considered for this positon.

The Community Health Worker contributes to the administration of Care Management and Utilization Management. The individual in this role provides non-clinical support to the assessment and evaluation of member’s needs and requirements to achieve or maintain optimal wellness by guiding member/families toward and facilitating interaction with appropriate resources for their care and wellbeing. Community Health Worker collaborate with Case Managers (CMs) and Utilization Management (UM) Nurses to address co-occurring physical health, behavioral health, and social factors affecting members. The individual improve members’ understanding of and ability to self-manage their chronic conditions and Social Determinants of Health (SDoH) and work to reduce disparities in outcomes associated with chronic conditions and SDOH.

Required Qualifications

• Experience working with people who have SDoH challenges
• Knowledge of and ability to navigate community resources
• Become a Certified Community Health Worker (CHW) within 18-months from hire date
• Proficiency in Microsoft Office applications (Word, Excel, Outlook)
• Ability to manage multiple priorities in a fast-paced environment
• Must be passionate about contributing to continuously improving consumer experiences

Workstyle: Field

Location: With about a 25 mile radius of Daytona Florida

Hours: Monday through Friday 8:00 -5:00 PM Eastern Time

Travel: This position requires about 90% local travel to meet with members

Work at Home Guidance To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
• Satellite, cellular and microwave connection can be used only if approved by leadership
• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office associates 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

Driver's License, Automobile, Insurance Policy

• This role is a part of Humana's Driver Safety program and therefore requires an individual to have a valid state driver's license, reliable transportation, and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits

TB Screening

• 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

Agency For Health Care Administration

• AHCA Fingerprint Required

Preferred Qualifications

• Experience with case management, discharge planning, crisis intervention and patient education for adult acute care
• Bi-Lingual (English/Spanish)
• Medicaid Program experience
• Experience working with members/patients with medical and mental health co-morbidities

Additional Information

Covid Policy

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive an email correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. (please be sure to check your spam or junk folders often to ensure communication isn’t missed) If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40