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Become a part of our caring community and help us put health first. Humana 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.
Job Responsibility:
Contribute to the administration of care management
Provide non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state
Guide members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
Apply 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
Leverage knowledge of the community and shared life experience to inform interactions with enrollees and Humana’s community partners
Work collaboratively with other Humana associates as a member of Humana’s Comprehensive Care Support team
Conduct in-person assessment(s) to understand member care needs, preferences, and socioeconomic barriers and evaluate the home environment
Assess 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
Act as a member advocate with providers, community resources, schools, and others, including accompanying members to provider office visits as requested
Assist member with navigating health care and social service systems and coordinate access to basic needs (e.g. housing, food, income, transportation)
Promote and monitor member adherence with their care plan and provide motivational interviewing to support medication and treatment adherence
Provide social support to help boost member’s morale and sense of self-worth
Support member self-management through the provision of culturally appropriate health education and health coaching
Attend Humana community events to connect with members and provide education on case management services
Conduct 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)
Build and maintain relationships with providers and community resources to support member referrals and implement community assessments to identify community resource gaps
Support the implementation of Humana’s Readmission Prevention and ED Diversion program
Requirements:
Must reside in the Tidewater Region of the Commonwealth of Virginia in the counties/independent cities of: Virginia Beach, Norfolk, Chesapeake and Portsmouth
Minimum two (2) years prior experience working with community resources, community health agencies/social service agencies
Intermediate working knowledge using Microsoft Office Programs specifically Teams, Excel, PowerPoint, Outlook and Word
Exceptional communication & interpersonal skills
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
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
Nice to have:
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
What we offer:
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)