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Social Determinants of Health (SDOH) Coordinator - Remote LA

at Humana in Shreveport, Louisiana, United States

Job Description

Description

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.

Responsibilities

Social Determinants of Health (SDOH) Coordinators (Care Management Support Professional) 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:

+ 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

Required Qualifications

+ Minimum two (2) years prior experience working with community resources, community health agencies/social service agencies (Area Agency on Aging, DME providers, Meals on Wheels etc.)

+ Intermediate working knowledge using Microsoft Office Programs specifically Teams, Excel, PowerPoint, Outlook and Word

+ Exceptional communication & interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.

+ Decision making skills regarding own work approach/priorities, and work assignments, standards and resources

+ Ability to multi-task and work in a very fast-paced environment

+ Strong understanding and respect of all cultures and demographic diversity.

+ Strong written communication skills and a strong advocate for members at all levels of care.

+ Location: Must reside in Louisiana

+ Hours: Must be able to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM Central Time

+ Training: November 7th, 2022

+ Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Work-At-Home Requirements

+ Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

+ A minimum standard speed for optimal performance of 25×10 (25mpbs download x 10mpbs upload) is required.

+ Satellite and Wireless Internet service is NOT allowed for this role.

+ A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Preferred Qualifications

+ Bachelor’s Degree in Social Work or related field

+ Familiarity with state Medicaid program guidelines

+ Experience engaging with Medicaid enrollees, including those with physical health and behavioral health needs and varied health literacy

+ Fluent in Spanish, French Creole, or Vietnamese

Additional Information

Section 1121 of the Louisiana Code of Governmental Ethics states that current or former agency heads or elected officials, board or commission members or public employees of the Louisiana Health Department (LDH) who work directly with LDH’s Medicaid Division cannot be considered for this opportunity. A separation of two (2) or more years from LDH is required for consideration. For more information please visit: Louisiana Board of Ethics (la.gov) (https://ethics.la.gov/boardprocedures.aspx?type=advisory%20opinion)

\#LI-KK1 #LouisianaMedicaid

Scheduled Weekly Hours

40

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.

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Job Posting: JC224259609

Posted On: Sep 21, 2022

Updated On: Oct 23, 2022