Community Health Worker

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.

• 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

• 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)

• 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

• 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

• 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

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

• 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 Southeast/South Central Wisconsin
• Attendance at bi-monthly meetings at the home office in Milwaukee, if within 50 miles

• 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

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…