Community Management Professional - Racine, United States - Humana

Humana

Verified Company

Racine, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

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 facetoface, 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 membercentered 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 communitybased resources and actively manages appropriate referrals, access, engagement, followup and coordination of services.

Use your skills to make an impact
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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 Milwaukee County and surrounding area.
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 conditionspecific treatment or management.
Bilingual in Spanish.

Additional Information
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Workstyle:Field. Associates perform their core duties at one or more non

Humana/iCare locations.

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Work Location:must reside within the Milwaukee County area.
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Travel:up to 75% of the time primarily throughout Milwaukee, Racine, Kenosha, Waukesha, Washington and Ozaukee Counties. May include travel outside of these counties on occasion.
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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 biweekly 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