Job Description

Become a part of our caring community and help us put health first

Humana Healthy Horizons in Virginia is seeking Care Management Support Professionals (HRSN Coordinators) to contribute to administration of care management. They will provide non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and maintain an optimal wellness state by guiding members and their families toward and facilitate interaction with resources appropriate for the care and well-being. Care Management Support Professionals (HRSN Coordinators) work assignments are mostly straightforward and of moderate complexity.

• Finds community-based support to meet members’ transportation, food insecurity, education, and employment needs, in addition to other Health Related Social Needs (HRSN).
• Supports Care Managers and Community Health Workers (CHWs) to find appropriate community resources to address Health Related Social Needs (HRSN).
• Liaise among Humana Care Managers, providers, and community-based organizations to coordinate referrals for members to community-based services and programs and to foster integrated efforts among all parties.
• Handles calls from Member Services for callers who require resources and who are not participating in Care Management; can refer member to Care Management after initial resource assistance.
• Assists with health screening process, unable to reach efforts, conduct non-clinical surveys, and offer Care Management services, as needed.
• Serves as a key knowledge source for community services and information for members and other Humana associates.
• Implements community assessments to identify community resource gaps.
• Monitors member compliance with their care plan and provide motivational interviewing to support medication and treatment adherence.
• Supports members’ self-management skills through the provision of culturally appropriate health education and health coaching.
• Attends Humana community events to connect with members and provide education on care management services.
• Builds and maintains relationships with providers and community resources to support member identification and referrals.

Use your skills to make an impact

Required Qualifications

• Must reside in the Commonwealth of Virginia.
• Bachelor’s degree in social work or a related field.
• Minimum two (2) years prior experience working with community resources, community health agencies/social service agencies (Area Agency on Aging, DME providers, Meal on Wheels etc.).
• Intermediate to advanced knowledge of Microsoft Office Suite to include Outlook, Word, Excel and PowerPoint.
• Decision making skills regarding own work approach/priorities, and work assignments, standards and resources.
• Exceptional oral and written communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
• Ability to manage multiple competing priorities and work in a very fast-paced environment.
• May be required to be in the community for events, education, or other business/member needs.
• 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.
• Must be able to travel throughout Medicaid regions in the Commonwealth of Virginia.
• 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. 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.

Preferred Qualifications

• Experience with behavioral change, health promotion, coaching and wellness.
• Fluent in Spanish, Arabic, Vietnamese or other language 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.

Additional Information

• Workstyle: This is a remote position that will require you to travel.
• Travel: Up to 25% field interactions with members, and their families and providers. May need to attend onsite meetings occasionally in Humana Healthy Horizons office in Glen Allen, VA.
• Workdays and Hours: Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST).
• Language Assessment Statement: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

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

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Humana will provide Home or Hybrid Home/Office employees 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.

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

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.

$45,400 - $61,300 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 us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.

Summary
Company name: Humana
Remote job title: Care Management Support Professional
Job tags: Outreach, Coordination, Resources, Advocacy

Job Tags

Holiday work, Full time, Temporary work, Apprenticeship, Remote job, Home office, Monday to Friday,

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