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

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.

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:
Perform required SDOH and other essential non-clinical assessments
Implement initial nonclinical Care Plans and monitor member progress on the member Care Plans
Educate members on Value Added Benefits and process those benefit requests for members who meet criteria
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
Conduct research and telephonic outreach to locate difficult-to-contact enrollees to increase assessment completion and participation in clinical programs

Use your skills to make an impact

Required Qualifications

2+ years experience working with community resources, community health agencies/social service agencies (Area Agency on Aging, DME providers, Meals on Wheels etc.) Case Management experience
1 year of professional work experience
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 and perform work 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: May 2025

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

Work At Home Requirements

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is required.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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)

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive an email correspondence inviting you to participate in a SMS Text Messaging interview. (please be sure to check your spam or junk folders often to ensure communication isn’t missed)

The SMS Text interview, will ask you a series of questions to which you will be using your Cell phone OR Email to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

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.

$45,400 - $61,300 per year

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

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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.