Hybrid MSW Care Navigator

Become a part of our caring community and help us put health first

Job Functions

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.

Duties and Responsibilities

Conduct Transitions of Care Management for a subset of the patient population, including ER and hospital follow ups

Provide triage guidance and supportive consultation to other team members, handling escalated complex cases

Develop care plans leveraging 5Ms Geriatric best practice framework

Develop a wholistic view of patient needs related to Social Determinants of Health

Identify existing barriers to engagement with necessary resources and supports

Provide education around maintenance of chronic health conditions, as well as available options for behavioral care and social support

Serve as liaison between the patient and the direct care providers, assisting in navigating both internal and external systems

Initiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary team

Supporting patients self-determination, motivate patients to meet the health goals they have identified

Refer patient to necessary services and supports

This 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 isolation

Lead Interdisciplinary Team Meetings when indicated

Assess patients family system, and conduct family meetings with patient and family when needed

Participate in creation and facilitation of team training content

Conduct group psychoeducation and support groups within the Center

Perform all other duties and responsibilities as required

Participate in and lead interdisciplinary review of and coordination around complex patients

Maintain patient confidentiality in accordance with HIPAA

Document patient encounters in medical record system in a timely manner

Follow general policies related to fire safety, infection control and attendance

Use your skills to make an impact

Required Qualifications

Master's in Social Work (MSW)

Licensed Master Social Worker in Texas (LMSW)

Minimum of 4 years of experience working in human services and navigating community-based resources

Must live in Corpus Christi Metro area - at least first 3 months are training which takes place in the clinic

Preferred Qualifications

Familiarity with state Medicaid guidelines and application processes preferred

Experience working with patients with behavioral health conditions and substance use disorders preferred

Prior experience conducting home visits and knowledge of field safety practices preferred

Skills / Abilities / Competencies Required

Advanced clinical acumen

Ability to multi-task in a fast-paced work environment

Flexibility to fluidly transition and adjust in an evolving role

Excellent organizational skills

Advanced oral and written communication skills

Strong interpersonal and relationship building skills

Compassion and desire to advocate for patient needs

Critical thinking and problem-solving capabilities

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 : In-center role, Monday thru Friday 8 am to 5 pm

Location : Must reside in Corpus Christi metro - first 3 months will be training in the clinic; hybrid aspect does not begin until after first 3 months

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 member facing and is part of Humanas Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Benefits

Health benefits effective day 1

Paid time off, holidays, volunteer time and jury duty pay

Recognition pay

401(k) retirement savings plan with employer match

Tuition assistance

Scholarships for eligible dependents

Scheduled Weekly Hours

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. $59,300 - $80,900 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 Humanas Primary Care Organization, which includes CenterWell Senior Primary Care, Convivas 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.

Salary : $59,300 - $80,900