Care Coordinator, RN Field Based

About the role

Become a part of our caring community Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.

This position serves members of the new Indiana Medicaid program - Indiana PathWays for Aging (PathWays). The program was designed to help more Hoosiers who choose to age at home, do so, and to achieve better access to services, and better health and quality outcomes.

Responsibilities

• Employ a variety of strategies, approaches, and techniques to manage a member’s physical, environmental, and psycho-social health issues.
• Identify and resolve barriers that hinder effective care.
• Facilitate the development of a longitudinal and trusting relationship with each member toward improved quality, continuity, and coordination of care.
• Coordinate all the member’s needed medical and non-medical services, including functional, social, and environmental services.
• Work collaboratively with the Service Coordinator, Transition Coordinator, and other care team staff to address the member’s identified needs.
• Coordinate with all Medicare payers, Medicare Advantage plans, and Medicare providers as appropriate to coordinate the care and benefits of members who are also eligible for Medicare.
• Primary point of contact for the Interdisciplinary Care Team (ICT) and shall be responsible for coordinating with the member, ICT participants, and outside resources to ensure the member’s needs are met.

Requirements

• Licensed Registered Nurse (RN) in the state of Indiana without restrictions.
• At least one (2) years of clinical experience as a nurse in providing case management or similar health care services.
• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
• Proven ability of critical thinking, organization, written and verbal communication and problem-solving skills.
• Able to manage multiple or competing priorities in a fast-paced environment.
• Able to use a variety of electronic information applications/software programs including electronic medical records.

Qualifications

• Live/Reside in Indiana.
• Bilingual (English/Spanish) or (English/Burmese) or (English/Burmese).
• Prior nursing home diversion, long-term care, disease management, or case management experience.
• Prior management of Home and Community Based Services waivers (HCBS dual roles only).
• Prior experience with Medicare & Medicaid recipients.
• Experience working with a geriatric population.
• Experience with health promotion, coaching and wellness.
• Knowledge of community health and social service agencies and additional community resources.

Skills

No specific skills are mentioned in the job posting.

Benefits

No specific benefits are mentioned in the job posting.

Pay

$71,100 - $97,800 per year

Schedule

Must be able to work a 40-hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs.

Travel

Must be willing to commute about 70% to meet with members. On Call-Telephonic on call for an occasional night and/or weekend may be required.

Additional Information

Additional Information About Humana: Your Growth Is What Drives Humana Forward. When you get here, the journey is just beginning. Our leaders are committed to understanding what you need to grow. Because we do not grow without you.

About Us: About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and 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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.