Care Management Support Professional 1 - Louisville, KY (Remote) at Humana

Posted in Other 6 days ago.

Location: Louisville, Kentucky

Job Description:


The Care Management Support Professional 1 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Management Support Professional 1 work assignments are often straightforward and of moderate complexity.


The Housing Specialist understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.

Essential Role Functions and Responsibilities

Humana's Kentucky Medicaid Housing Specialist will support Care Coordination teams in order to help Medicaid enrollees find, and keep, safe and stable housing. They will be responsible for ensuring that enrollees transitioning from facility to community are connected to appropriate housing resources, including but not limited to, referral of potential enrollees to Humana's Community Health Worker's for application to the Kentucky Supportive Housing programs. The Housing Specialist is responsible for the following functions:

  • Serve on the Multi-disciplinary care team with case managers and other care team members to provide housing resources as needed

  • Consult directly with enrollees or authorized representative to identify safe, affordable housing, based upon enrollee needs

  • Identify and maintain list of emergency, transitional, and permanent housing resources throughout Kentucky

  • Help build innovative partnerships between Humana and housing-related community-based organizations to improve enrollee health outcomes

  • Coordinate Humana's eviction diversion efforts

  • Advocate for enrollees with landlords and housing agencies as needed

  • Coordinate with community organizations, government agencies, and property owners to secure living arrangements, negotiate rent, deposits, and move-in terms on behalf of enrollees

  • Serve as a liaison between Humana and housing agencies, community-based organizations, and providers regarding issues related to housing needs for enrollees

  • Coordinate with Humana's housing strategy partners

  • Collect and analyze performance reports on Humana's housing support functions to monitor adherence with benchmarks, identify opportunities for process improvement, and develop recommendations for leadership

  • Coordinate with quality team to submit semi-annual updates regarding enrollee support services and effectiveness to the Quality Improvement Committee (QIC)

Required Qualifications

  • Bachelor's degree in Social Work, Health Education, Human Services or related field

  • Prior working experience with HUD, Housing Law, Homeless Coalitions, Public relations and/or related experience

  • Decision making skills regarding own work approach/priorities, and work assignments, standards and resources

  • Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.

  • Ability to multi-task and work in a very fast-paced environment

  • Comprehensive knowledge of Microsoft Office Suite to include Word, Excel, PowerPoint and Access

  • 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 100,000/300,000/100,000 limits

  • WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

  • Work Schedule: Monday - Friday; 8am - 5pm. EST

Preferred Qualifications

  • Experience with working with KY Medicaid Population

  • Prior experience with Medicare & Medicaid recipients and/or long term care and/or Home and Community based services and/or working with managed care organizations.

  • Knowledge of community health and social service agencies and additional community resources

  • Experience with behavioral change, health promotion, coaching and wellness

  • Master's Degree in Business or a related field

What We Offer

  • Benefit package that starts your 1st day of employment

  • Robust 401k plan through Charles Schwab

  • Eligibility for Associate Wellness and Rewards Program

  • Opportunity to grow in the industry and build your professional career

  • Tuition Reimbursement & Student Loan Refinancing

  • Position can work virtually - You provide the space, we'll send the equipment

Scheduled Weekly Hours