Field Care Coordinator

The Care Coach evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members and families toward appropriate resources for their care and well-being.

About the role

This rewarding role allows you to connect with members to ensure they receive the services they need. The Care Coach 1 involves meeting members in their location, assessing their needs and barriers, and connecting them with quality services to promote well-being and drive health outcomes. This role is ideal if you enjoy applying creativity and skills to help those in need find long-term solutions.

We are looking for motivated and dynamic case managers residing in Alachua, Marion, or Levy counties in Florida. This role reports to the Regional Care Coach Manager and involves straightforward, moderately complex work assignments.

Responsibilities

• Visit Medicaid members in their homes, Assisted Living Facilities, Long-Term Care Facilities, and other care settings (75-90% local travel).
• Assess and evaluate members' needs to establish a member-specific care plan.
• Ensure members receive services in the least restrictive setting to achieve and/or maintain optimal well-being.
• Plan and implement interventions to meet members' needs.
• Coordinate services and monitor and evaluate the case management plan against the member's personal goals.
• Guide members and families toward resources appropriate for their care.
• Facilitate interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member's care as required by our comprehensive contract.

Requirements

• Bachelor's Degree with at least 2 years of relevant experience (Health Services, Social Work, Psychology), or
• Registered Nurse (RN), licensed in the state of Florida, with at least 2 years of relevant experience, or
• Licensed Practical Nurse (LPN), licensed in the state of Florida, with at least 4 years of relevant experience, or
• Case Worker with a minimum of 6 years of Health Services/Case Management Experience.
• Prior experience with Medicare & Medicaid recipients.
• Intermediate to advanced computer skills, including experience with Microsoft Word, Excel, and Outlook.
• AHCA Fingerprint Required.
• This role is patient-facing and requires Tuberculosis (TB) screening.
• Valid state driver’s license and proof of personal vehicle liability insurance (this role is part of Humana’s Driver safety program).
• Ability to work Monday-Friday, 8:30 AM - 5:00 PM.

Preferred Qualifications

• Bilingual (English/Spanish) with the ability to pass a Language Proficiency Exam.
• Community Health Worker experience.
• Prior nursing home diversion or long-term care case management experience.
• Experience with electronic case note documentation and documenting in multiple computer applications/systems.
• Experience working with the geriatric population.
• Experience with health promotion, coaching, and wellness.
• Knowledge of community health and social service agencies and additional community resources.
• 701B Certification.
• Medication application (RFA) experience.

Pay

Starting salary is $60,000 - $64,000 per year based on qualifications and experience. The full compensation range for this role is $53,700 - $72,600 per year.

Benefits

Humana offers competitive benefits designed to support whole-person well-being, including:

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off (including paid holidays, parental, and caregiver leave).
• Short-term and long-term disability.
• Life insurance.

Schedule

40 hours per week, Monday-Friday, 8:30 AM - 5:00 PM.