Humana · 3 weeks ago
MSW Care Navigator
Humana is a leading provider of healthcare services and is looking for a Care Navigator to join their interdisciplinary care team. This role involves engaging high-risk patients, implementing targeted interventions, and coordinating care to address social needs and improve access to healthcare.
Health CareHealth InsuranceInsuranceVenture Capital
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 patient’s 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
Qualification
Required
Master's Degree in Social Work
Minimum of 4 years of experience working in healthcare services and navigating community-based resources
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
Preferred
Licensed Master Social Worker
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
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
Medical, dental and vision benefits
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
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Recent News
2026-01-16
2026-01-16
2026-01-14
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