Job Details

Community Resource Navigator

Are you passionate about helping people overcome barriers, access the care they need, and build healthier lives? As a Community Resource Navigator, you will be a trusted partner and advocate for members. You will work remotely to provide personalized support that connects members to community resources, care teams, and services that can make a meaningful difference. You will work with Care Coordinators, registered nurses, providers, and community organizations to help members understand their care plans. You will help members navigate available resources and take practical steps toward improved health and well-being.

Member Outreach & Engagement

• Conduct outreach to designated members through face-to-face visits, phone calls, and mail
• Engage members who are difficult to reach or contact them in person when you are unable to contact them

Care Coordination

• Assist members in navigating health care and social service systems, including assisting with filling out applications, arranging transportation, scheduling appointments, and accompanying members
• Coordinate access to basic needs such as food, housing, benefits, transportation, utilities, safety, and income supports
• Communicate member needs related to prevention, wellness, medical care, behavioral health, care transitions, and Social Determinants of Health (SDoH) to the Interdisciplinary Care Team (ICT)

Assessment & Care Planning

• Complete initial and periodic needs assessments, including barriers, basic needs, strengths, and SDoH
• Help develop and implement member-centered care plans by helping members understand instructions and tailoring communication

Health Behavior Support

• Assess readiness to change and help members modify daily routines to support health goals
• Provide informal counseling, motivational support, goal setting, and action planning
• Support chronic disease management for members and their families

Community Partnership & Resource Navigation

• Identify and follow up on referrals to community-based resources
• Develop partnerships with community organizations, including housing agencies/coalitions, shelters, food programs, and Aging and Disability Resource Centers

Documentation and Reporting

• Use health information technology to link members with services, resources, and the interdisciplinary care team
• Document all member interactions, activities, and interventions in TruCare or designated systems

Required Qualifications

• 2+ years of experience with community resources, health agencies, or social services (e.g., Area Agency on Aging, DME providers, Meals on Wheels)
• 1 year of experience working with electronic documentation
• Ability to travel up to 75%, within Southeastern/South Central Wisconsin

Workstyle: Field

Travel: Up to 75%

Workdays/Hours- 8:30-5pm (CST)

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.

Mileage reimbursement is provided for work-related travel. Eligible mileage includes:

• Travel from your home to your first work location of the day.
• Travel between client or assignment locations during the workday.
• Travel from your final work location back to your home.

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.

Work at Home 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 required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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.$41,900 - $56,600 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.