Care Management Support Professional , SDOH Coordinator

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

The Care Management Support Professional 1 [Housing Specialist] contributes to the administration of care management. The individual in this role provides non‑clinical support to the assessment and evaluation of enrollees' needs and requirements to achieve and maintain an optimal wellness state by guiding enrollees and their families toward and facilitating interaction with resources appropriate for the care and wellbeing. This role's work assignments are mostly straightforward and of moderate complexity.

The Housing Specialist is a regionally based role.

• Find community‑based support to meet enrollees' housing, transportation, food insecurity, education, and employment needs, in addition to other SDOH needs.
• Support Care Managers and Community Health Workers to find appropriate community housing resources and to address additional SDOH needs.
• Liaise among Humana Care Managers, providers, and community‑based organizations to coordinate referrals for enrollees to community‑based services and programs and to foster integrated efforts among all parties.
• Handle calls from Enrollee Services for callers who require resources and who are not participating in Care Management; can refer enrollee to Care Management after initial resource assistance.
• Assist with health screening process, unable to reach efforts, conduct non‑clinical surveys, and offer Care Management services, as needed.
• Serve as a key knowledge source for community services and information for enrollees and other Humana associates.
• Implement community assessments to identify community resource gaps.
• Monitor enrollee compliance with their care plan and provide motivational interviewing to support medication and treatment adherence.
• Support enrollees' self‑management skills through the provision of culturally appropriate health education and health coaching.
• Attend Humana community events to connect with enrollees and provide education on care management services.
• Build and maintain relationships with providers and community resources to support enrollee identification and referrals.

• Bachelor's degree
• Previous experience supporting housing needs of clients
• 2+ years of experience supporting members social determinants of health (SDOH) needs in multiple platforms.
• 2 years' experience working with individuals navigating community and/or healthcare resources.
• Experience working with people who have social determinants of health challenges.
• Previous experience with Microsoft in Word, Excel, Outlook
• Must be passionate about contributing to an organization focused on improving consumer experiences
• Strong written and oral communication skills.
• Ability to multi‑task and work in a fast‑paced environment
• Demonstrated understanding and respect of all cultures and demographic diversity.

• Master's Degree in Business or a related field
• Special Needs Plan (SNP) in Medicare and/or Medicaid
• Medical Social Work experience
• Experience working with members with medical and behavioral health co‑morbidities.
• Experience advocating for managed care members at all levels of care.
• Microsoft Access experience

This is a Remote position that requires occasional travel to community programs or in‑person meetings.

• 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.

• Health benefits effective day 1
• Paid time off, holidays, volunteer time and jury duty pay
• Recognition pay
• 401(k) retirement…