Be Part of Our Caring Community and Support Health Initiatives! At Humana Care Support, we are committed to aiding our members in achieving and sustaining their optimal wellness. In the role of Health Care Management Specialist, you will be a vital part of our team, working alongside Registered Nurses and Social Workers in care management. Your key responsibilities will include: Leveraging your knowledge of social determinants of health (SDOH) to identify, research, document, and coordinate essential resources and services that enhance member health and well-being. Guiding members and their families toward suitable care and wellness resources. Serving as a dependable source of information on community services for both members and colleagues at Humana. Providing education, contact details, and support to access critical resources like transportation, food assistance, housing, and medical bill support. Collaborating effectively with Humana team members as part of the Care Management Support team. Demonstrating a commitment to enhancing consumer experiences and positively contributing to our organization's mission. Completing assessments when required. Utilize Your Skills and Make a Meaningful Impact! Required Qualifications: Master's degree in Social Work (Non-licensed MSW acceptable). At least 2 years of experience in a medical or community-based setting. Proficient in Microsoft Office Word and Outlook. Ability to quickly learn new systems and navigate multiple platforms. Experience working with individuals facing challenges related to social determinants of health. Exceptional written and verbal communication skills, able to build rapport with members and stakeholders over the phone. Strong interpersonal skills with a proven ability to manage multiple tasks in a dynamic environment. Respect and understanding of diverse cultures and demographics. Preferred Qualifications: Experience in connecting community resources for healthcare and basic needs. Background in working with members/patients managing medical and mental health conditions. Experience advocating for managed care members across various levels of care. Non-clinical Case Management experience. Fluency in Spanish and Creole. Experience in hospital discharge planning, home health, or hospice care is a plus. Work-from-Home Requirements: Reliable internet service with a minimum download speed of 25 Mbps and upload speed of 10 Mbps; wired cable or DSL is recommended. Satellite, cellular, and microwave connections may only be used with prior leadership approval. Hybrid associates will receive bi-weekly payments to assist with internet costs. Humana will provide necessary telephone equipment to meet job requirements. Work from a dedicated space free of interruptions to ensure protection of member PHI / HIPAA information. Additional Information: Training Hours: Monday-Friday 8:00am-4:30pm (for 2 weeks) Actual Work Schedule: Monday-Friday 9:30am-6:00pm EST Occasional travel for visits to Humana offices for training or meetings may be necessary. Scheduled Weekly Hours: 40 Pay Range: The salary range mentioned reflects the starting base pay for full-time employment and may vary based on geographic location and individual qualifications, including experience, education, skills, and certifications. $45,400 - $61,300 per year Benefits Package: Humana offers a competitive benefits package that supports your holistic well-being. Our plans promote personal wellness and informed healthcare decisions for you and your family. Benefits include medical, dental and vision coverage, a 401(k) retirement plan, paid time off (including holidays and volunteer time), short-term and long-term disability, life insurance, and more. Application Deadline: 01-21-2026 About Us: Humana Inc. is focused on prioritizing health for our employees, clients, and communities. Through our insurance services and healthcare solutions, we help millions in achieving their best health and enhance services when they are needed most, improving the quality of life for Medicare, Medicaid, families, individuals, military personnel, and wider communities. Equal Opportunity Employer: Humana does not discriminate against any employee or applicant based on race, color, religion, gender, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. We also commit to affirmative action to employ and advance individuals with disabilities or protected veteran status based on valid job requirements, ensuring equality in all aspects of employment. Humana adheres to all federal civil rights laws and does not discriminate based on race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion. We provide free language interpreter services.
