**Become a part of our caring community and help us put health first** Humana Healthy Horizons in Florida is seeking a Care Management Support Professional to serve members in Miami-Dade and Monroe Counties. The Care Management Support Professional (CMSP) will contribute to the administration of Care Management and Utilization Management. The individual in this role provides non-clinical support to the assessment and evaluation of member’s needs and requirements to achieve or maintain optimal wellness by guiding member/families toward and facilitating interaction with appropriate resources for their care and wellbeing. The CMSP collaborates with Case Managers (CMs) and Utilization Management (UM) Nurses to address co-occurring physical health, behavioral health, and social factors affecting members. The individual improves members’ understanding of and ability to self-manage their chronic conditions and Social Determinants of Health (SDoH) and work to reduce disparities in outcomes associated with chronic conditions and social determinants of health. This position is a field-based role and requires 80% travel within the region, about 4 days weekly, and residence within Miami-Dade or Monroe Counties. The Care Management Support Professional (CMSP) builds visibility and credibility of Humana’s products and services throughout the community via chats, posts, and interactions. The individual in this role engages new community members and strategizes methods to scale communities and drive connections among all community members. The CMSP understands professional concepts and standards, regulations, strategies, and operating standards. This individual makes decisions about their own work approach and priorities and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. + Conducts research and in-person outreach to locate difficult-to-contact enrollees to increase assessment completion and participation in clinical programs. + Conducts in-person non-clinical assessments to understand enrollee care needs, preferences, and socioeconomic barriers, and evaluate the home environment as needed. + Works collaboratively with other Humana associates as a member of Humana’s Care Management Support teams. + Serves as a member of enrollee multi-disciplinary care teams (MDT) as requested. + Assists enrollees with scheduling physical health and behavioral health office visits and addressing barriers to appointment attendance. + Assesses enrollee barriers to healthy living and accessing healthcare services and arranges necessary social services and supports. + Acts as an enrollee advocate with providers, community resources, schools, and others, including accompanying enrollees to provider office visits as requested. + Locates enrollees when they miss appointments to determine the reason and problem-solve to address barriers to care. + Monitors enrollee compliance with their care plan and provides motivational interviewing to support medication and treatment adherence. + Supports enrollee self-management through the provision of culturally appropriate health education and coaching. + Serves as a key knowledge source for community services and information for enrollees and other Humana associates. + Attends Humana community events with the Community Engagement team as requested to connect with enrollees and provide education on case management services. + Builds and maintains relationships with providers and community resources to support enrollee identification and referrals. **Use your skills to make an impact** **Required Qualifications** + Three (3) years of field experience conducting provider, facility encampments, shelter or home visits such as case management, discharge planning, crisis intervention and member education for pediatric through geriatric acute care. + Two (2) years of direct experience working with the serious mental illness population (Bi-Polar, Depression, Schizophrenia). + Experience engaging individuals experiencing homelessness or at risk for homelessness, including outreach to encampments and/or temporary shelters. + 3 years of experience working with and navigating community resources. + Become a Certified Community Health Worker (CHW) within 18-months from hire date. + Proficient with MS Office, navigating multiple systems and platforms and general technical skills to troubleshoot and resolve within a remote environment. + AHCA Level II Background Check is required. **Preferred Qualifications** + 1-year nonclinical Case Management experience, Social Work support. + Certified Community Health Worker. + Bi-Lingual (English/Spanish/Creole). + Medicaid Program experience. + Managed care experience. **Additional Information** + **Workstyle:** Field. This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes. + **Travel:** 80%, 4 days/week. + **Work Location:** must reside within **Region I (Miami-Dade or Monroe Counties)** + **Typical Work Days/Hours:** Monday – Friday, 8:00 am – 5:00 pm EST. **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 are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.  **TB** 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. **WAH Internet** 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 recommended; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **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. Limited Geography Remote - This is a remote position but located within a specific geography. \#LI-JP1 **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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **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 veteran status. 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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.