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.
Want more jobs like this?
Get Management jobs delivered to your inbox every week.
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 Dane, Rock, and/or Sauk County areas.
- 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 Dane/Rock/Sauk Counties area.
- Travel: up to 75% of the time primarily throughout Dane, Rock, and Sauk Counties. May include travel outside of these counties on occasion.
- Typical Work Days/Hours: Monday - Friday, 8:30 am - 5:00 pm CST.
WAH Requirements
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 recommended; 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 ongoing interruptions to protect member PHI / HIPAA information.
Driving
This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
TB
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
HireVue
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.
Benefits
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
- Health benefits effective day 1
- Paid time off, holidays, volunteer time and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Parental and caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
Limited Geography Remote - This is a remote position but located within a specific geography.
#LI-JP1
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.
$44,200 - $60,900 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 because he or she is a protected veteran. 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.