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 mentioned in the job posting.
Benefits
No specific benefits mentioned in the job posting.
Pay
$71,100 - $97,800 per year
Schedule
Hours: 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.
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. 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.