Care Coach

Humana • Work at Home - Illinois, IL

8d • $53,700 - $72,600 • Remote

About The Position

Become a part of our caring community. Are you passionate about improving access to care and helping people live healthier lives? Join Humana's IL HealthChoice Medicaid team as a Care Coach on the Behavioral Health Team, where you'll build meaningful connections with members and guide them through their healthcare journey. Using a whole-person approach, you'll assess needs, coordinate services, and connect members with valuable resources that support their health, independence, and overall well-being.

Requirements

• Bachelor's degree in social sciences, social work, human services, or a related field.
• Unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with one (1) year experience conducting comprehensive assessments and provision of formal service for the elderly.
• Licensed Professional Counselor (LPC).
• Licensed Social Worker (LSW).
• Qualified Mental Health Professional (QMHP).
• Must reside in Illinois.
• 1+ years of experience in health care and/or case management.
• 1+ years of experience with Medicare & Medicaid recipients and/or long-term care and/or Home and Community based services and/or working with managed care organizations.
• Experience using a variety of electronic information applications/software programs including electronic medical records.
• Valid state driver's license.
• Personal vehicle liability insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.
• Minimum download speed of 25 Mbps and an upload speed of 10 Mbps is required for internet service.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Responsibilities

• Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
• Identify and resolve barriers that hinder effective care.
• Plan and implement interventions to meet care needs.
• Coordinate services, monitor, and evaluate the case management plan against the member's personal goals.
• Ensure the patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with members, and active care planning.
• Assess and evaluate enrollee's needs via telephonic and face-to-face assessments and evaluations, to coordinate services and address enrollee needs.
• Assist enrollee to remediate immediate and acute gaps in care and access.
• Assist enrollee with filing grievances and appeals.
• Provide information to enrollee related to MCO requirements, services, and benefits.
• Provide enrollee with information or referrals to community resources.
• Guide 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.
• Visit to hospitals- travel up to 25%.

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level