Become a part of our caring community and help us put health first
 This is a unique opportunity to directly connect with patients on the barriers most affecting their ability to engage in the care they need, and subsequently work to find solutions that positively impact their quality of life. We are looking for individuals who are:
•\tDedicated to serving at risk populations most in need of additional supports
•\tCreative problem solvers
•\tEnthusiastic about working in a fast paced and developing market

The MSW Care Navigator assesses and evaluates member's 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 MSW Care Navigator work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Job Summary

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.

Major Duties and Responsibilities

Develop a wholistic view of patient needs related to Social Determinants of HealthIdentify existing barriers to engagement with necessary resources and supportsProvide education around maintenance of chronic health conditions, as well as available options for behavioral care and social supportServe as liaison between the patient and the direct care providers, assisting in navigating both internal and external systemsInitiate care planning and subsequent action steps for high-risk patients, coordinating with interdisciplinary teamSupporting patients’ self-determination, motivate patients to meet the health goals they have identifiedRefer patient to necessary services and supportsThis 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 isolationAssess patient’s family system, and conduct family meetings with patient and family when neededParticipate in creation and facilitation of team training contentConduct group psychoeducation and support groups within the CenterPerform all other duties and responsibilities as requiredParticipate in and lead interdisciplinary review of and coordination around complex patientsMaintain patient confidentiality in accordance with HIPAADocument patient encounters in medical record system in a timely mannerFollow general policies related to fire safety, infection control and attendance

Use your skills to make an impact
 

Required Qualifications

Master’s Degree in Social WorkMinimum of 2 years of experience working in human services and navigating community-based resources

Preferred Qualifications

Bilingual in English/Spanish or English/Creole with the ability to speak, read and write in both languages without limitations and assistanceLMSW Licensure if applicant holds an MSWFamiliarity with state Medicaid guidelines and application processes preferredExperience working with patients with behavioral health conditions and substance use disorders preferredPrior experience conducting home visits and knowledge of field safety practices preferred

Skills/Abilities/Competencies Required

Advanced clinical acumenAbility to multi-task in a fast-paced work environmentFlexibility to fluidly transition and adjust in an evolving roleExcellent organizational skillsAdvanced oral and written communication skillsStrong interpersonal and relationship building skillsCompassion and desire to advocate for patient needsCritical thinking and problem-solving capabilitiesAbility to use a variety of electronic information applications/software programs including electronic medical records.

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 Palm Beach County

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 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.

Driver's License, Reliable Transportation, Insurance This role is part of Humana's Driver safety program and therefore requires an individual to have:

a valid state driver's license,proof of personal vehicle liability insurance with at least 100/300/100 limits,and a reliable vehicle.

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.

 

$57,700 - $79,500 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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
 About Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.

About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our 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, 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.