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You will be updated with latest job alerts via email$ 59300 - 80900
1 Vacancy
Job Functions
Working within an interdisciplinary care team the Care Navigator is responsible for proactively engaging patients identified as high-risk and implementing targeted interventions to address social needs and increase access to care. The Care Navigator will provide guidance and oversight of care coordination efforts to other members of the team and handle clinical escalations as indicated.
This role requires an understanding of how socio-economic stressors can impact ability to engage in healthcare and subsequent health outcomes. Experience will ideally include prior work with patients with behavioral health diagnoses as well as in navigating local community-based resources and benefit applications.
This role has a mobile presence involving travel to patients homes treatment facilities and community-based settings and assigned clinics to facilitate and foster connections.
Duties and Responsibilities
Conduct Transitions of Care Management for a subset of the patient population including ER and hospital follow ups
Provide triage guidance and supportive consultation to other team members handling escalated complex cases
Develop care plans leveraging 5Ms Geriatric best practice framework
Develop a wholistic view of patient needs related to Social Determinants of Health
Identify existing barriers to engagement with necessary resources and supports
Provide education around maintenance of chronic health conditions as well as available options for behavioral care and social support
Serve as liaison between the patient and the direct care providers assisting in navigating both internal and external systems
Initiate care planning and subsequent action steps for high-risk members coordinating with interdisciplinary team
Supporting patients self-determination motivate patients to meet the health goals they have identified
Refer patient to necessary services and supports
This field may include but is not limited to: assistance with transportation food insecurity navigation of and application for benefits including Medicaid HCBS working to reduce costs associated with prescription medications organizing schedules of follow up appointments alleviating social isolation
Lead Interdisciplinary Team Meetings when indicated
Assess patients family system and conduct family meetings with patient and family when needed
Participate in creation and facilitation of team training content
Conduct group psychoeducation and support groups within the Center
Perform all other duties and responsibilities as required
Participate in and lead interdisciplinary review of and coordination around complex patients
Maintain patient confidentiality in accordance with HIPAA
Document patient encounters in medical record system in a timely manner
Follow general policies related to fire safety infection control and attendance
Required Qualifications
Masters in Social Work (MSW)
Minimum of 4 years of experience working in health human services and navigating community-based resources
Preferred Qualifications
Familiarity with state Medicaid guidelines and application processes preferred
Experience working with patients with behavioral health conditions and substance use disorders preferred
Prior experience conducting home visits and knowledge of field safety practices preferred
Skills/Abilities/Competencies Required
Advanced clinical acumen
Ability to multi-task in a fast-paced work environment
Flexibility to fluidly transition and adjust in an evolving role
Excellent organizational skills
Advanced oral and written communication skills
Strong interpersonal and relationship building skills
Compassion and desire to advocate for patient needs
Critical thinking and problem-solving capabilities
Working Conditions
This role has a mobile presence involving travel to patients homes treatment facilities and community-based settings and assigned clinics to facilitate connections.
Workstyle: Combination in clinic and field local travel to meet with patients
Location: Must reside in Daytona FL
Hours: Must be able to work a 40 hour work week Monday through Friday 8:00 AM to 5:00 PM over-time may be requested to meet business needs.
Tuberculosis (TB) screening: This role is considered member facing and is part of Humanas Tuberculosis (TB) screening program. If selected for this role you will be required to be screened for TB.
Drivers License Reliable Transportation Insurance This role is part of Humanas Driver safety program and therefore requires an individual to have:
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Additional Information
This role is considered patient facing and is part of Humanas Tuberculosis (TB) screening program. If selected for this role you will be required to be screened for TB.
Alert
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number if it is not already on file. When required an email will be sent from with instructions on how to add the information into your official application on Humanas secure website.
Interview Format 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 families. We design competitive and flexible packages to give our employees a sense of financial securityboth today and in the future including:
Health benefits effective day 1
Paid time off holidays volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
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Scheduled Weekly Hours
40Pay 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.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.
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.
Full-Time