Community Based Social Determinants of Health Professional

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

Humana Healthy Horizons in Kentucky is seeking a Community Based Social Determinants of Health Professional to join our team in Western Kentucky 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 within 50 miles of Paducah or Owensboro, Kentucky.
• 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 5+ years of experience working with individuals 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 3+ years of experience working with individuals 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
• Proficient in Microsoft Office (Excel, Word) 
• Ability to use a variety of electronic information applications/software programs 

Preferred Qualifications 

• Prior experience with Medicaid recipients 
• Bilingual (Language Proficiency Testing required)

Workstyle: Combination remote work at home and field based (60-75% travel)

Location: Must reside within a 50-mile radius of Owensboro, KY or Paducah, KY

Schedule: Mon-Fri between 8:00 AM to 6:00 PM EST, with flexibility for evenings and weekend events, based on business needs

Additional Information

TB Statement

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.

Driving Statement

This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher. 

Work at Home Internet Statement

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.
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.

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.