Care Coordinator 1

About the role

Become a part of our caring community Humana Gold Plus Integrated is seeking Long-Term Services and Support (LTSS) Care Coordinators (Care Coach 1) in the state of Illinois.

Responsibilities

• Visits Medicaid members in their homes, Assisted Living Facilities (ALFs), and/or Long-Term Care Facilities and other care settings – 75-90% local travel.
• Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
• Identifies and resolves barriers that hinder effective care.
• Plans and implement interventions to meet care needs.
• Covers services, monitors, and evaluates the case management plan against the member's personal goals.
• Guides members/families towards resources appropriate for their care.
• Facilitates interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member's care as appropriate and required by our comprehensive contract.

Requirements

• One (1) or more years of experience in health care and case management.
• One (1) or more years of experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services (HCBS), and managed care organizations.
• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.
• Ability to travel in the region to meet face to face with members and/or their families, community partners and care teams.

Qualifications

• Bachelor's degree in social sciences, social work, human services, or a related field.
• An active, unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with one (1) year of experience conducting comprehensive assessments and provision of formal services to elderly individuals.
• One (1) or more years of experience in health care and case management.
• One (1) or more years of experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services (HCBS), and managed care organizations.
• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.
• Ability to travel in the region to meet face to face with members and/or their families, community partners and care teams.
• Ability to carry vehicle insurance in accordance with your residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Preferred Qualifications

• An active, unrestricted Licensed Professional Counselor (LPC) in Illinois.
• An active, unrestricted Licensed Social Worker (LSW) in Illinois.
• Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Can speak, read and write in both languages without limitations and assistance.

Benefits

• Medical, dental and vision benefits.
• 401(k) retirement savings plan.
• Paid time off (including paid time off, company and personal holidays, paid parental and caregiver leave).
• Short-term and long-term disability.
• Lifetime life insurance.
• Many other opportunities.

Schedule

Monday - Friday; 8:00 AM - 5:00 PM Central Standard Time (CST), with flexibility available.

Pay Range

$53,700 - $72,600 per year