Clinical Advisor - Social Worker

Role: Clinical Advisor - Social Worker

Assignment: Senior Segment

Location: New York, NY

Humana’s dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and providers in a nontraditional environment where your knowledge will make a difference. Our associates know their work is vitally important; we strive to ensure we provide perfect service with one-on-one member interactions as a coach, personal nurse, or clinical advisor. Humana’s Perfect Service® means getting the basics done right, delivering value and quality, providing guidance on needs, and being engaged with our members. We want to help our members make the right choices to live life fully. We begin that process by connecting our members with an associate who cares.

Assignment Capsule

Be a part of the Personal Health Coach team -- engage our members to develop lifelong well-being and health.

Humana is seeking a Social Worker to assist identified members in assessing their care needs, assist in planning and implementing interventions to meet those needs, assist in coordinating services, and monitoring and evaluating the case management plan against the member’s personal health care goals.

  • Use your knowledge of benefit plan design to help coordinate in versus out-of-network movement,
  • Recommend services for Humana Plan members utilizing care alternatives available within the community and nationally
  • Connect potential dual-eligible membership to resources using Low Income Subsidy guidelines

Role Essentials

  • Current Social Work license in the state in which the individual will be required to practice
  • Minimum of 3-5 years’ experience working as a licensed Social Worker
  • Master’s or Bachelor’s Degree in Social Work or a related field or equivalent education and/or experience
  • Excellent communication skills, both verbal and written
  • Proficient in the use of Microsoft Office products including Word, Excel and Outlook
  • Valid driver’s license and/or dependable transportation necessary
  • This role will require 25% travel to New York City and Long Island with an occasional commute to our Manhattan office
  • 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
  • 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

Role Desirables

  • Health Plan experience
  • Previous experience in care management/discharge planning and/or home health, nursing home inpatient or rehab setting
  • Prior experience with Medicaid or Medicare recipients strongly desired
  • Experience working with geriatric population
  • Knowledge of community health and social service agencies and additional community resources
  • Bilingual is a plus

Reporting Relationships

You will report to a Frontline Leader

Additional Information

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Voice to enhance our hiring and decision-making ability. Montage Voice 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 an email correspondence inviting you to participate in a Montage Voice interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Humana is an organization with careers that change lives—including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you’re ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.

At Humana, we’re also committed to making the resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. We know your well-being is important to you, and it’s important to us too.If you share our passion for helping people, we likely have the right place for you at Humana. After applying, we encourage you to join our Talent Network as well, so you can stay informed and up to date on what’s happening around our organization in the changing world of healthcare.
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