Care Management Support Professional
The SDOH Social Determinates of Health (Care Management Support Professional) contributes to administration of care management. The individual in this role provides non-clinical support to the assessment and evaluation of enrollees' needs and requirements to achieve and maintain an optimal wellness state by guiding enrollees and their families toward and facilitate interaction with resources appropriate for the care and wellbeing. This role's work assignments are mostly straightforward and of moderate complexity.
Position Responsibilities:
- Find community-based support to meet enrollees' housing, transportation, food insecurity, education, and employment needs, in addition to other SDOH needs.
- Support Care Managers and Community Health Workers to find appropriate community housing resources and to address additional SDOH needs.
- Liaise among Humana Care Managers, providers, and community-based organizations to coordinate referrals for enrollees to community-based services and programs and to foster integrated efforts among all parties.
- Handle calls from Enrollee Services for callers who require resources and who are not participating in Care Management; can refer enrollee to Care Management after initial resource assistance.
- Assist with health screening process, unable to reach efforts, conduct non-clinical surveys, and offer Care Management services, as needed.
- Serve as a key knowledge source for community services and information for enrollees and other Humana associates.
- Implement community assessments to identify community resource gaps.
- Monitor enrollee compliance with their care plan and provide motivational interviewing to support medication and treatment adherence.
- Support enrollees' self-management skills through the provision of culturally appropriate health education and health coaching
- Attend Humana community events to connect with enrollees and provide education on care management services.
- Build and maintain relationships with providers and community resources to support enrollee identification and referrals.
Required Qualifications:
- Must reside in Oklahoma, Occasional travel to office for staff meetings, training, etc.
- Minimum two (2) years prior experience working with community housing resources, community health agencies/social service agencies (Area Agency on Aging, DME providers, Meal on Wheels etc.)
- Minimum 1-year professional experience.
- Intermediate to Advanced knowledge of Microsoft Office Suite to include Word, Excel, and PowerPoint
- Decision making skills regarding own work approach/priorities, and work assignments, standards, and resources.
- Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
- Ability to multi-task and work in a very fast-paced environment
Preferred Qualifications:
- Associate degree
- Experience with behavioral change, health promotion, coaching and wellness.
- Bilingual preferred (Spanish, Native Tribal, Vietnamese, or other)
Additional Information:
To ensure Home or Hybrid Home/Office employees', 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.
- Employees 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.
- 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.
Benefits:
- 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
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: $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 โ 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 โ 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 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.