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Become a part of our caring community and help us put health first

Humana Healthy Horizons in Kentucky is seeking a Community Management Professional 1 to join our team in the Lexington Kentucky and surrounding area.

This associate actively engages with members to help address their health-related social needs. Join this amazing and dedicated team and lead change in how health care for the underserved in Kentucky is managed. Share your talents and develop your skills all while doing your part to make a difference in the lives of others.

Essential Role Functions and Responsibilities:

+ Conduct in-person and telephonic non-clinical assessment(s) to understand enrollee care needs, preferences, and socioeconomic barriers and evaluate the home environment as needed in Lexington Kentucky and surrounding areas.

+ Work collaboratively with other Humana associates as a member of Humana’s Care Management Support teams, including case managers, SDOH coordinators, Community Education Representatives (CER), and the Quality Improvement team that conducts HEDIS outreach.

+ Serve as a member of enrollee multi-disciplinary care teams (MDT), as requested.

+ Assist enrollees with scheduling physical health and behavioral health (BH) office visits and addressing barriers to appointment attendance.

+ Assess enrollee barriers to healthy living and accessing healthcare services and arrange needed social services and supports.

+ Act as an enrollee advocate with providers, community resources, schools, and others, including accompanying enrollees to provider office visits as requested.

+ Locate enrollees when they miss appointments to find out why the appointment was missed and problem-solve to address barriers to care.

+ Monitor enrollee compliance with their care plan and provide motivational interviewing to support medication and treatment adherence.

+ Provide social support to help boost enrollees’ morale and sense of self-worth, serving as a trustworthy, reliable, non-judgmental, consistent, and accepting member of the enrollee’s MDT.

+ Support enrollee self-management through the provision of culturally appropriate health education and health coaching.

+ Serve as a key knowledge source for community services and information for enrollees and other Humana associates.

+ Attend Humana community events to connect with enrollees and provide education on case management services.

+ Conduct research and in-person outreach to locate difficult-to-contact enrollees to increase assessment completion and participation in clinical programs.

+ Build and maintain relationships with providers and community resources to support enrollee identification and referrals.

+ Implement community assessments to identify community resource gaps.

Use your skills to make an impact

Required** **Qualifications

Must meet **one** of the following:

+ Associate's degree and five, (5) years of experience working with members face to face and telephonically conducting assessments, and/or professional experience in human services or as a community health worker

+ Bachelor's degree or higher and three, (3) years of experience working with members face to face and telephonically conducting assessments, and/or professional experience in human services or as a community health worker

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Must meet **all** of the following:

+ Certified Community Health Worker in the state of Kentucky or willingness to obtain certification within 12 months of hire

+ ProficientinMicrosoftOffice(Excel,Word)

+ Abilitytouseavarietyofelectronicinformation applications/softwareprograms

Preferred** **Qualifications

+ PriorexperiencewithMedicaidrecipients

+ Bilingual skills - Language assessment is required to be considered fluent

**Workstyle:** Combination remote work at home and field based

**Location:** Must reside within a 30-mile radius of Lexington Kentucky

**Schedule:** Must be able to work Mon-Fri between the hours of 8:00 AM to 6:00 PM Eastern Time and maintain flexibility to work weekday evenings based on business needs.

**Travel:** 60-75% typically Monday through Friday, with opportunity to participate in events on the weekends, but is not required.

**Tuberculosis** **(TB)** **screening** **P** **rogram** 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.

**Humana's** **Driver** **safety** **P** **rogram** 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 100,000/300,000/100,000 limits.

**Remote Work at Home Guidance** 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 ongoing interruptions to protect member PHI / HIPAA information.

**Bilingual Language Assessment** Any Humana employee who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

**SSN Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana’s secure website.

**Interview Format** 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.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.

$45,400 - $61,300 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.

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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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.