Evaluation Program Manager Jobs in Ruston, LA (NOW HIRING)

Become a part of our caring community
The Community Health Worker/Care Management Support Professional contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements. This support aims to achieve and/or maintain optimal wellness state. It does so by guiding members/families toward, and facilitating interaction with, resources appropriate for the care and wellbeing of members. The Care Management Support Professional work assignments are often straightforward and of moderate complexity.

Humana's Community Health Workers (CHW) serve as members of our Louisiana Medicaid enrollee-centric Comprehensive Care Support teams. The CHW applies both a hands-on approach and telephonic outreach to enrollee engagement. This approach supports case management functions and addresses social determinants of health (SDOH) needs. It also improves self-management of chronic conditions, navigates the healthcare system, and promotes prevention and health education. We tailor the education to the needs of the communities we serve. The CHW leverages their knowledge of the community and shared life experience to inform their interactions with enrollees and Humana's community partners.

Essential Functions and Responsibilities

• Work collaboratively with other Humana associates as a member of Humana's Comprehensive Care Support team, including case managers, peer support specialists, housing specialists, and SDOH coordinators
• Conduct in-person and/or telephonic assessment(s) to understand enrollee care needs, preferences, and socioeconomic barriers and evaluate the home environment
• Assess enrollee barriers to healthy living and accessing healthcare services and assist enrollees with scheduling physical health and behavioral health (BH) office visits, addressing barriers to appointment attendance
• Be an enrollee advocate with providers, community resources, schools, and others, including accompanying enrollees to provider office visits as requested
• Monitor enrollee compliance with their care plan and provide motivational interviewing to support medication and treatment adherence
• Provide social support to help boost enrollees' morale and sense of self-worth, serving as a, reliable, non-judgmental, consistent, and accepting member of the enrollee's MDT
• Support enrollee self-management through the provision of culturally appropriate health education and health coaching
• Attend Humana community events to connect with enrollees and provide education on case management services
• Conduct research and in-person outreach to locate difficult-to-contact enrollees to increase assessment completion and participation in clinical programs
• Build and maintain relationships with providers and community resources to support enrollee referrals and implement community assessments to identify community resource gaps

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, Meals on Wheels etc.)
• Intermediate working knowledge using Microsoft Office Programs
• Strong understanding and respect of all cultures and demographic diversity.
• Strong advocate for members at all levels of care.

Preferred Qualifications

• Bachelor's Degree in Social Work or related field
• Community Health Worker training and/or certificate or willingness to complete within one (1) year
• Familiarity with state Medicaid program guidelines
• Experience engaging with Medicaid enrollees, including those with physical health and behavioral health needs and varied health literacy
• Fluent in Spanish, French Creole, or Vietnamese
• Residing in the Regions 6: Rapides, Avoyelles, Catahoula, Concordia, Grant, LaSalle, Vernon, and Winn. Region 8: Ouachita, Union, Lincoln, Jackson, Caldwell, Richland, Morehouse, Franklin, West/East Carroll, Madison, TensasAlso in Region 8: Ouachita, Union, Lincoln, Jackson, Caldwell, Richland, Morehouse, Franklin, West/East Carroll, Madison, Tensas

Additional Information:

Workstyle: Combination work at home and field, local travel to meet with members

Location: Must reside in Central or Northern Louisiana

Hours: Must be able to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM Central Standard Time, over-time may be requested to meet business needs.

Tuberculosis (TB) screening: This role is considered member 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.

$45,400 - $61,300 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.
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

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.