Community Health Worker - Tampa, Jacksonville, Tallahassee or Pensacola FL

Full Time
Tampa, FL 33609
Posted
Job description

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 in the Tampa, Jacksonville, Tallahassee or Pensacola FL 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.


Position Responsibilities

The Community Health Worker builds visibility and credibility of Humana’s products and services throughout the community via chats, posts, and interactions. The individual in this role engages new community members and strategizes methods to scale communities and drive connections among all community members. The Community Health Worker understands professional concepts and standards, regulations, strategies, and operating standards. This individual makes decisions about their own work approach and priorities, and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.
  • Conduct in-person non-clinical assessments to understand enrollee care needs, preferences, and socioeconomic barriers, and evaluate the home environment as needed
  • Work collaboratively with other Humana associates as a member of Humana’s Care Management Support teams
  • Serve as a member of enrollee multi-disciplinary care teams (MDT) as requested
  • Assist enrollees with scheduling physical health and behavioral health office visits and addressing barriers to appointment attendance
  • Assess enrollee barriers to healthy living and accessing healthcare services and arrange necessary social services and supports
  • Act as an enrollee advocate with providers, community resources, schools, and others, including accompanying enrollees to provider office visits as requested
  • Locate enrollees when they miss appointments to determine the reason and problem-solve to address barriers to care
  • Monitor enrollee compliance with their care plan and provide motivational interviewing to support medication and treatment adherence
  • Support enrollee self-management through the provision of culturally-appropriate health education and coaching
  • Serve as a key knowledge source for community services and information for enrollees and other Humana associates
  • Attend Humana community events

Required Qualifications

  • High School Diploma
  • Knowledge of and ability to navigate community resources
  • Experience working with people who have SDoH challenges
  • 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
  • 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
  • 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

Preferred Qualifications

  • 1-year nonclinical Case Management experience
  • Bi-Lingual (English/Spanish)
Medicaid Program experience
  • Managed care experience
  • Experience with case management, discharge planning, crisis intervention and patient education for adult acute care
  • Experience working with Children, Adolescents and Adults
  • Experience working with Chronic homelessness, Social Determinants of Health (SDoH)
  • Experience working with members/patients with medical and mental health co-morbidities

Scheduled Weekly Hours

40

Not Specified
0

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