Community Management Professional

Become a part of our caring community and help us put health first
 Humana is seeking a Community Management Professional to join the Wisconsin Medicaid Market (iCare) team. The Community Management Professional provides high touch support and coordination to designated iCare members, including helping members navigate and access community services, other resources, and adopt healthy behaviors. The Community Management Professional helps to develop and maintain partnerships with community-based organizations and assists members to connect with needed services. Join this dedicated team and lead change in how health care for the underserved in Wisconsin is managed.

• Conducts member outreach and engagement activities to designated members, including face-to-face, mail and telephone contact.
• Conducts initial and periodic needs assessments, including assessing barriers, basic needs and assets (e.g. Social Determinants of Health), member and/or family/caregiver preferences, language, literacy and cultural preferences.
• Contributes to the development and execution of the member-centered care plan, including assisting members to understand plan and instructions, and tailors communication to appropriate health literacy levels.
• Promotes member adherence through assessing member’s readiness to change, assisting member in making changes to daily routines, identifying barriers, and assisting member with developing strategies to address barriers.
• Develops and maintains extensive knowledge of the Care Coordination Model of Care and state and federal regulations for Interdisciplinary Care Team (ICT) activities.  
• Assists member with navigating health care and social service systems and coordinate access to basic needs (e.g. housing, food, income, including arranging for transportation and scheduling and accompanying members to appointments).
• Identifies available community-based resources and actively manages appropriate referrals, access, engagement, follow-up and coordination of services.

Use your skills to make an impact
 

Required Qualifications

• One (1) year of direct experience working with people with physical, developmental, or mental disabilities.
• Knowledge of available social services and resources in the Milwaukee County and surrounding area.
• Experience collecting and documenting data and information.
• Experience utilizing Microsoft Office, specifically Outlook, Teams, and Excel.
• Ability to travel within the designated community.

Preferred Qualifications:

• Certification as a Community Health Worker.
• Health education skills, knowledge of health promotion and wellness, knowledge of chronic disease prevention and management and knowledge of health condition-specific treatment or management.
• Bilingual in Spanish.

Additional Information

• Workstyle: Field. Associates perform their core duties at one or more non-Humana/iCare locations.
• Work Location: must reside within the Milwaukee County or surrounding areas.
• Travel: up to 75% of the time primarily throughout Milwaukee, Racine, Kenosha, Waukesha, Washington and Ozaukee …