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COMPLETE SDOH/Wellness Information Navigator-4 - Work at Home - Ohio

11 days ago


Job Opportunity Details


Full Time


Not Telling

Work from home


Weekly Working Hours

Not Telling


Not Telling

Working Location

Work at Home - Ohio, Remote Ohio, United States   [ View map ]

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

The Care Management Support Professional 1 [Wellness & Information Navigator (WIN)] contributes to 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 facilitate interaction with resources appropriate for the care and wellbeing. This role’s work assignments are mostly straightforward and of moderate complexity. The Wellness & Information Navigator is a regionally based role.


Position Responsibilities:

  • Find community-based support to meet enrollees’ transportation, food insecurity, education, and employment needs, in addition to other SDOH needs
  • Support Care Managers and Community Health Workers to find appropriate community resources to address 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

Use your skills to make an impact

Required Qualifications:

  • Minimum two (2) years prior experience working with community resources, community health agencies/social service agencies (Area Agency on Aging, DME providers, Meal on Wheels etc.)
  • Prior experience with Medicaid, Medicare or dual eligible populations
  • Experience with health promotion, coaching and wellness
  • Exceptional communication & interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
  • Decision making skills regarding own work approach/priorities, and work assignments, standards and resources
  • Ability to multi-task and work in a very fast-paced environment
  • Strong understanding and respect of all cultures and demographic diversity.
  • Strong written communication skills.
  • Strong advocate for members at all levels of care.
  • Proficient in Microsoft Office Programs specifically Teams, Excel, PowerPoint, Outlook and Word.
  • Must reside in Ohio
  • Occasional travel to office for staff meetings, training, etc.

Preferred Qualifications: 

  • Associate’s degree
  • Related clinical licensure or certification preferred
  • Knowledge of community health and social service agencies and additional community resources
  • Previous experience with electronic case note documentation and experience with documenting in multiple computer applications/systems
  • Bilingual (Spanish, Somali or other)

Additional Information

Scheduled Weekly Hours


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.

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 because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.

More Information

Application Details

  • Organization Details
    004 Humana Insurance Company

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