[Remote] Community Health Worker 1 at Humana

Illinois, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Minimum two (2) years prior experience working with community resources, community health agencies/social service agencies (Area Agency on Aging, DME providers, Meals on Wheels etc.)
Must reside in Illinois
Valid driver's license, car insurance, and access to an automobile
Intermediate working knowledge using Microsoft Office Programs specifically Teams, Excel, PowerPoint, Outlook and Word
Exceptional communication & interpersonal skills with the ability to build rapport with internal and external customers and stakeholders
Decision making skills regarding own work approach/priorities, and work assignments, standards and resources
Ability to multi-task and work independently

Responsibilities

Contribute to administration of care management
Provide non-clinical support to the assessment and evaluation of members' needs and requirements
Guide members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
Work collaboratively with other Humana associates as a member of Humana’s Comprehensive Care Support team
Conduct in-person assessments to understand member care needs, preferences, and socioeconomic barriers
Evaluate the home environment
Assess member barriers to healthy living and accessing healthcare services and assist enrollees with scheduling appointments
Act as a member advocate with providers, community resources, schools, and other entities
Assist members with navigating health care and social service systems and coordinating access to basic needs
Promote and monitor member adherence with their care plan and provide motivational interviewing
Provide social support to help boost members’ 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
May assist with Health Risk Screenings (HRS) and/or Welcome Calls
Build and maintain relationships with providers and community resources to support member referrals
Implement community assessments to identify community resource gaps
Support the implementation of Humana’s Readmission Prevention and ED Diversion program
Other duties as assigned

Skills

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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