Care Management Support - Wellness Information Navigator

Become a part of our caring community and help us put health first
 The Care Management Support Professional 1 [Wellness & Information Navigator (WIN)] 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. The Wellness & Information Navigator is a regionally based role.

This is a remote position, working from a home office, with the possibility of local travel for onsite meetings and community events as needed. Work hours are Mon-Fri 8am-5pm EST.

• Find community-based support to meet enrollees’ transportation, food insecurity, education, and employment needs, in addition to other SDOH needs

• Support Care Managers and Community Health Workers to find appropriate community resources to address SDOH needs
• Perform as liaison 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

Use your skills to make an impact
 

Required Qualifications:

• Minimum 2 years experience working with community resources, community health agencies/social service agencies (Area Agency on Aging, DME providers, Meal on Wheels etc.)
• Prior experience with Medicaid, Medicare or dual eligible populations
• Experience with health promotion, coaching and wellness as well as advocating for members at all levels of care.
• Must be available to work EST hours.
• 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 in a very fast-paced environment
• Ability to apply understanding and respect of all cultures and demographic diversity.
• Proficient in Microsoft Office Programs specifically Teams, Excel, PowerPoint, Outlook and Word.

Preferred Qualifications: 

• Associate’s degree
• Related clinical licensure or certification preferred
• Previous experience with electronic documentation and experience with documenting in multiple computer applications/systems
• Bilingual in English & Spanish
• Reside in OH

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:

• 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
• Satellite, cellular and microwave connection can be used only if approved by leadership
• 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.
• Humana will provide Home or Hybrid Home/Office associates 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

Interview Format
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.

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