Jobs · OTHR

Care Coordinator 1

Humana · O'Fallon, IL · 2 days ago
RemoteRemoteOTHR$54k–$73k/yrFull-time

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 (see Additional Information section).
  • 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. Services are driven by facilitating 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

  • Use your skills to make an impact The Care Coordinator (Care Coach 1) must meet one (1) of the following requirements: 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.
  • 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.
  • This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance.

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.

Skills

  • 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.

Benefits

See "Description of Benefits" section for details.

Pay

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. $53,700 - $72,600 per year

Schedule

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

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