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.
You will be part of a caring community at Humana. When you meet us, you can tell we started as a hometown company. We are proud of our Louisville roots and, as we have grown, that community feeling has spread across all 50 states and Puerto Rico.
No matter where you are—whether you are working from home, from the field, from our offices, or from somewhere in between—you will feel welcome here. We are a caring community made of close-knit teams, cross-country friendships, and inclusive resource groups, all gathered around one big table where everyone’s voice is heard and respected.
Responsibilities
The Care Coordinator 2 employs a variety of strategies, approaches, and techniques to manage a member’s physical, environmental, and psycho-social health issues. Identifies and resolves 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.
Coordinates all the member’s needed medical and non-medical services, including functional, social, and environmental services. Works collaboratively with the Service Coordinator, Transition Coordinator, and other care team staff to address the member’s identified needs. Coordinates 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
- Bilingual (English/Spanish) 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
- Knowledge of community health and social service agencies and additional community resources
Skills
- Critical thinking
- Organization
- Written and verbal communication
- Problem-solving
- Managing multiple priorities
- Electronic information applications
Benefits
No benefits provided in this job posting.
Pay
$71,100 - $97,800 per year
Schedule
Combination remote work at home and onsite member visits
Additional Information
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.
Role Driver's License, Transportation, Insurance: This role is a part of Humana's Driver Safety program and therefore requires and individual to have: Valid state driver's license Proof of personal vehicle liability insurance with at least $100,000/$300,000/$100,000 limits Access to a reliable vehicle
Tuberculosis (TB) screening program: This role is considered patient facing and is part of Humana at Home's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.