Community Health Worker

Community Health Worker (CHW) 1

The Community Health Worker (CHW) 1 serves as a liaison between health and social services and the community, identifying health-related issues, collecting data, and discussing concerns with the people served. The Community Health Worker 1 works assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.

Follows established guidelines/procedures. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.

The Community Health Worker (CHW) 1 serves as a key member of our care teams, applying a hands-on approach to member engagement. The CHW 1 supports case management functions, addresses social determinants of health (SDOH) needs, improves self-management of chronic conditions, navigates the healthcare system, and promotes prevention and health education tailored to the needs of the communities we serve. Leveraging their knowledge of the community and shared life experiences, the CHW 1 informs their interactions with members and community partners.

• Work with other Humana associates as a member of Humana's Comprehensive Care Support team, including case managers, housing specialists, and SDOH coordinators, ED Liaison, Redetermination Specialist.
• Conduct in-person assessment(s) to understand member care needs, preferences, and socioeconomic barriers and evaluate the home environment
• Assess member barriers to healthy living and accessing healthcare services and assist enrollees with scheduling physical health and behavioral health (BH) office visits, addressing barriers to appointment attendance
• Be the member advocate with providers, community resources, schools, and other entities for support
• Assist members with navigating health care and social service systems and coordinating access to basic needs (e.g. housing, food, income, and transportation)
• Promote and monitor member adherence with their care plan and provide motivational interviewing to support medication and treatment adherence
• Provide social support to help boost members' morale and sense of self-worth, serving as a reliable, non-judgmental, consistent, and accepting member of the members' multi-disciplinary team
• Support members 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 to increase assessment completion and participation in clinical programs
• May assist with Health Risk Screenings (HRS) and Welcome Calls
• Build and maintain relationships with providers and community resources to support member referrals and implement community assessments to identify community resource gaps
• Support the implementation of Humana's Readmission Prevention and ED Diversion program
• Other duties as assigned

• Must reside in Illinois. This is a hybrid role and may require up to 75% travel to member's homes, provider organizations, Humana office in Chicago/Schaumburg as well as working from home office
• 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).
• Valid driver's license, car insurance, and access to an automobile
• 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
• Strong understanding and respect of all cultures and demographic diversity
• Must be able to work a 40-hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs

• Bachelor's degree in social work or related health field
• Community Health Worker training and/or certificate
• Familiarity with state Medicaid program guidelines
• Experience engaging with Medicaid enrollees, including those with physical health and behavioral health needs and varied health literacy
• Bi-lingual

Work at Home…