Humana

Community Health Worker

Remote Wisconsin Full time

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

The Community Health Worker/Health Coach (CHW) provides high touch support to designated Independent Care Health Plan (iCare) members, helping them navigate community resources and adopt healthier behaviors. As a member of the interdisciplinary care management team, the CHW collaborates with Care Coordinators, RNs, providers, and community partners to support members in carrying out their care plans. The role also includes building and maintaining relationships with community organizations and connecting members to needed services.

Member Outreach & Engagement

  • Conduct outreach to designated members through face‑to‑face visits, phone calls, and mail
  • Engage members who are difficult to reach or contact them in person when you are unable to contact them

Care Coordination

  • Assist members in navigating health care and social service systems, including assisting with filling out applications, arranging transportation, scheduling appointments, and accompanying members
  • Coordinate access to basic needs such as food, housing, benefits, transportation, utilities, safety, and income supports
  • Communicate member needs related to prevention, wellness, medical care, behavioral health, care transitions, and Social Determinants of Health (SDoH) to the Interdisciplinary Care Team (ICT)

Assessment & Care Planning

  • Complete initial and periodic needs assessments, including barriers, basic needs, strengths, and SDoH
  • Help develop and implement member-centered care plans by helping members understand instructions and tailoring communication

Health Behavior Support

  • Assess readiness to change and help members modify daily routines to support health goals
  • Provide informal counseling, motivational support, goal setting, and action planning
  • Support chronic disease management for members and their families

Community Partnership & Resource Navigation

  • Identify and follow up on referrals to community-based resources
  • Develop partnerships with community organizations, including housing agencies/coalitions, shelters, food programs, and Aging and Disability Resource Centers

Documentation and Reporting

  • Use health information technology to link members with services, resources, and the interdisciplinary care team
  • Document all member interactions, activities, and interventions in TruCare or designated systems


Use your skills to make an impact
 

Required Qualifications

  • 2+ years of experience with community resources, health agencies, or social services (e.g., Area Agency on Aging, DME providers, Meals on Wheels)
  • Experience working with electronic documentation
  • Ability to travel up to 75%, primarily within Southeastern/South Central Wisconsin
  • Attendance at bi-monthly meetings at the home office in Milwaukee, if within 50 miles

Preferred Qualifications

  • Community Health Worker training or certificate or willingness to complete within one (1) year
  • Bachelor's degree in social work or related field
  • Knowledge and ability to facilitate use of health care system (e.g. primary care and specialty linkages; appointment scheduling etc.)
  • Knowledge of available social services and resources
  • Experience with health education, promotion and wellness, chronic disease prevention and management and knowledge of health condition-specific treatment or management
  • Bilingual skills
  • Previous experience working with Microsoft Office

Additional Information

WAH Internet Statement

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. 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.

Driving Statement

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.

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.

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 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 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.