The Community Health Worker (CHW) 1 serves as a liaison between health and social services and the community, identifying health-related issues, collecting data, and discussing concerns with the people served. In this role, you will address members housing concerns and connect them with community resources. This will include helping with completion of applications, identifying housing vacancies, adding members to wait lists. Additionally, you will help members with understanding and utilizing their housing benefits in partnership with the community and including policies related to the Medicaid population. This is a field role and you will need to travel up to 25% to member homes and facilities.
You will report to a Manager of Care Management.
The Community Health Worker (CHW) 1 serves as a key member of our care teams, applying a hands-on approach to member engagement. The CHW 1 supports case management functions. It addresses social determinants of health (SDOH) needs, improves self-management of chronic conditions, navigates the healthcare system, and promotes prevention and health education tailored to the needs of the communities we serve. You will leverage your knowledge of the community and shared life experiences to close gaps in care.
Conduct in-person assessments to understand member care needs, preferences, socioeconomic barriers, and evaluate the home environment.
Assist members in navigating healthcare and social service systems, coordinating access to basic needs with a focus on housing (e.g., housing, food, income, and transportation).
Identify and address barriers to housing, ensuring members can attend their appointments.
Provide social support to boost members' morale and sense of self-worth, serving as a trustworthy, reliable, non-judgmental, consistent, and accepting team member.
Support member independence through appropriate education and coaching.
Conduct research and in-person outreach to locate difficult-to-contact members to increase assessment completion and participation in clinical programs.
Build and maintain relationships with providers and community resources to support member referrals and implement community assessments to identify resource gaps.
Regularly travel to conduct member visits and community-based visits as needed to ensure effective program administration.
Work collaboratively with other associates as a member of the care support team.
Required Qualifications
Must reside in the state of South Carolina
Able to travel up to 25%
Minimum two (2) years of experience with community resources, health agencies, or social services (e.g., Area Agency on Aging, DME providers, Meals on Wheels)
Proficiency in Microsoft Office such as (Teams, Excel, PowerPoint, Outlook, Word)
Build rapport with members and community partners
Respect for cultural and demographic diversity
Strong written & verbal communication skills and advocacy for members at all care levels
Must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while you work
Preferred Qualifications
Community Health Worker training and/or certificate or willingness to complete within one (1) year
Bachelor's degree in social work or related field
Familiarity with state Medicaid program guidelines
Experience engaging with Medicaid enrollees, including those with physical health and behavioral health needs and varied health literacy
Work-At-Home Requirements:
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:
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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.
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Satellite, cellular and microwave connection can be used only if approved by leadership.
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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.
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Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
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Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Interview Format:
As part of our hiring process for this opportunity, we will be using exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected for a first-round interview, you will receive an email correspondence inviting you to participate in a HireVue interview. In this interview, you will receive a set of interview questions you may answer via by phone or computer, and you will provide recorded or text message responses to each question. Some of the questions may require longer responses and using a computer vs phone to type responses may work best. You should anticipate this interview to take about 15-20 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
Why Humana?
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:
Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
TB Statement:
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.
Driving Statement:
This role is part of our company'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.
Medicaid Mileage Reimbursement:
We provide mileage reimbursement for work-related travel. Eligible mileage includes:
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Travel from your home to your first work location of the day.
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Travel between client or assignment locations during the workday.
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Travel from your final work location back to your home.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The 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 year
Description of Benefits
Humana, 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 Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It 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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.
