SDOH Coordinator

Profile

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.

Responsibilities

The Social Determinants of Health (SDOH) Coordinator 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

Social Determinants of Health (SDOH) coordinators have regionally based assignments, our coordinators are responsible for finding community-based support to meet enrollee transportation, food insecurity, education, and employment needs, among other SDOH needs. Our SDOH coordinators will be responsible for supporting Case Managers (CM) and Community Health Workers (CHW) to find appropriate community resources to address SDOH. They will also serve as a resource for Enrollees not in care management to connect with needed SDOH-related services. SDOH Coordinators conduct and support the following functions:


Resource management: Maintaining updated resource list manually and within the Humana Community Resource Directory site for their region
Liaise among Humana CMs, providers, and CBOs to coordinate referrals for members to community-based services and programs and to foster integrated efforts among all parties
Handle calls from Member Services that require resources and do not have an open CPCM case (can be referred to CM after initial resource assistance)
Manage all cases out of SDOH queue by region to outreach, engage, provide resources, and potentially refer for CM
Manage the Unable the Reach (UTC) process:
After members who are complex, intensive, or chronic level have had their initial outreach with no successful contacts, the CM will designate the member as Unable to Contact (UTC). If member is contacted during the UTC process the SDOH Coordinator will attempt to complete HRA, if not completed and assess if member is interested in CM. If interested warm transfer or task to original CM. If not interested, close the case.
Preform pre-engagement screening: SDOH Coordinator will provide telephonic outreach to members who are identified through automated means to verify contact information, conduct non-clinical surveys, and offer CM services.
Serve as a key knowledge source for community services and information for enrollees and other Humana associates
Build and maintain relationships with providers and community resources to support enrollee identification and referrals
Implement community assessments to identify community resource gaps
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 trustworthy, 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
Serve as a key knowledge source for community services and information for enrollees and other Humana associates
Attend Humana community events to connect with enrollees and provide education on case management services
Conduct research and telephonic 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 identification and referrals
Implement community assessments to identify community resource gaps


WORKING FROM HOME - Temporary Due to COVID-19 emergency. Please note this permanent position allows you to work at home until further notice. This position will return to a physical office at a future date to be determined by leadership. See the Additional Information section below.

Required Qualifications


Bachelor's degree in Social Work, Health Education, Human Services or related field
Prior experience working with community resources, community health agencies/social service agencies (Area Agency on Aging, DME providers, Meal on Wheels etc... )
Prior experience working with Medicare & Medicaid recipients and/or long term care and/or Home and Community based services and/or working with managed care organizations.
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
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


Preferred Qualifications


Experience with working with KY Medicaid Population
Experience with behavioral change, health promotion, coaching and wellness
Master's Degree in Human Services or a related field


Additional Information


Work Location (Address): This job is working from Home Temporarily due to COVID-19 emergency. This position will deploy to the following location at a future date: Waterside building 101 E Main St Louisville, KY 40202
Position is provisional working at home due to COVID-19 emergency. In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m, and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and well-being during the hiring process


As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire Text to enhance our hiring and decision-making ability. Modern Hire Text 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.

If you are selected for a first round interview, you will receive a correspondence inviting you to participate in a Modern Hire Text interview. In this interview, you review a set of interview questions over your phone and you will provide text responses to each question. You should anticipate this interview to take about 15 to 20 minutes. Your text message interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Company info

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