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DescriptionThe Community Health Worker/Care Management Support Professional 1 contributes to administration of care management. Provides 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 Care Management Support Professional 1 work assignments are often straightforward and of moderate complexity.ResponsibilitiesHumana's Community Health Workers (CHW) serve as members of our Louisiana Medicaid enrollee centric Comprehensive Care Support teams. The CHW applies a hands-on approach to enrollee engagement to support case management functions, address social determinants of health (SDOH) needs, 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.Essential Functions and ResponsibilitiesWork collaboratively with other Humana associates as a member of Humana's Comprehensive Care Support team, including case managers, peer support specialists, housing specialists, and SDOH coordinators
Conduct in-person assessment(s) to understand enrollee care needs, preferences, and socioeconomic barriers and evaluate the home environment
Assess enrollee 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
Act as an enrollee advocate with providers, community resources, schools, and others, including accompanying enrollees to provider office visits as requested
Monitor enrollee compliance with their care plan and provide motivational interviewing to support medication and treatment adherence
Provide social support to help boost enrollees' morale and sense of self-worth, serving as a trustworthy, reliable, non-judgmental, consistent, and accepting member of the enrollee's MDT
Support enrollee self-management through the provision of culturally appropriate health education and health coaching
Attend Humana community events to connect with enrollees and provide education on case management services
Conduct research and in-person outreach to locate difficult-to-contact enrollees to increase assessment completion and participation in clinical programs
Build and maintain relationships with providers and community resources to support enrollee referrals and implement community assessments to identify community resource gaps
Required QualificationsMinimum 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.
Preferred QualificationsBachelor's Degree in Social Work or 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
Fluent in Spanish, French Creole, or Vietnamese
Work-At-Home RequirementsMust have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
Satellite and Wireless Internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Workstyle: Combination work at home and field, local travel to meet with membersLocation: Must reside in LouisianaHours: Must be able to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM Central Standard Time, over-time may be requested to meet business needs.Tuberculosis (TB) screening : This role is considered member 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.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 fieldDriver's License, Reliable Transportation, Insurance This role is part of Humana's Driver safety program and therefore requires an individual to have:a valid state driver's license,
proof of personal vehicle liability insurance with at least 100/300/100 limits,
and a reliable vehicle.
Additional Information:Section 1121 of the Louisiana Code of Governmental Ethics states that current or former agency heads or elected officials, board or commission members or public employees of the Louisiana Health Department (LDH) who work directly with LDH's Medicaid Division cannot be considered for this opportunity. A separation of two (2) or more years from LDH is required for consideration. For more information please visit: Louisiana Board of Ethics (la.gov) (https://ethics.la.gov/boardprocedures.aspx?type=advisory%20opinion)#LI-KK1Scheduled Weekly Hours40Humana 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.
