Community Health Worker

• Serve as a liaison between health and social services and the community
• Identify health-related issues, collect data, and discuss concerns with people served
• Support case management functions and address social determinants of health needs
• Improve self-management of chronic conditions and promote prevention and tailored health education
• Work with case managers, housing specialists, SDOH coordinators, ED Liaison, and Redetermination Specialist
• Conduct in-person assessments of member care needs, preferences, socioeconomic barriers, and home environments
• Assess barriers to healthy living and healthcare access; assist with physical and behavioral health appointment scheduling
• Advocate for members with providers, community resources, schools, and other entities
• Navigate healthcare and social service systems and coordinate access to housing, food, income, and transportation
• Promote care-plan adherence and provide motivational interviewing for medication and treatment adherence
• Provide social support and culturally appropriate health education and health coaching
• Attend Humana community events and provide education on case management services
• Conduct research and in-person outreach to locate difficult-to-contact members
• Assist with Health Risk Screenings and Welcome Calls
• Build relationships with providers and community resources and identify community resource gaps
• Support Humana's Readmission Prevention and ED Diversion program
• Perform other duties as assigned

• Contribute to administration of care management
• Provide non-clinical support for member needs assessments and evaluations
• Guide members and families toward appropriate care and wellbeing resources
• Engage Medicaid enrollees through Humana's Comprehensive Care Support teams
• Address social determinants of health and support chronic-condition self-management
• Navigate healthcare systems and promote prevention and tailored health education
• Conduct in-person assessments of member care needs, preferences, socioeconomic barriers and home environments
• Assist with scheduling physical and behavioral health visits and address attendance barriers
• Advocate for members with providers, community resources, schools and other entities
• Coordinate access to housing, food, income and transportation resources
• Monitor care-plan adherence and provide motivational interviewing for medication and treatment adherence
• Provide culturally appropriate social support, health education and health coaching
• Attend community events to connect with members and educate them about case management services
• Conduct research and in-person outreach to locate difficult-to-contact members
• Assist with Health Risk Screenings and Welcome Calls
• Build relationships with providers and community resources and identify community resource gaps
• Support Humana's Readmission Prevention and ED Diversion program
• Collaborate with case managers, housing specialists, SDOH coordinators, ED Liaison and Redetermination Specialist
• Perform other duties as assigned