Care Coordinator, RN Field Based

Humana • Jeffersonville, IN

2d • $71,100 - $97,800 • Hybrid

About The Position

Humana Healthy Horizons in Indiana is hiring a Care Coordinator 2 (Field Care Manager 2) to assess and evaluate members’ needs and guide members and families toward resources that support their care and wellbeing. The role serves members of Indiana PathWays for Aging, a Medicaid program intended to help Hoosiers who choose to age at home access services and achieve better health and care outcomes.

The Care Coordinator uses strategies and techniques to manage members’ physical, environmental, and psychosocial health issues, identifying and resolving barriers to effective care. The position coordinates medical and non-medical services, works with care team staff and Medicare-related providers when appropriate, and serves as the primary contact for the Interdisciplinary Care Team (ICT).

This is a field-based role with a combination of remote work from home and onsite member visits. The employee must reside in Indiana and be willing to travel approximately 70% to meet members. The schedule is 40 hours per week, Monday through Friday, 8:00 a.m. to 5:00 p.m.; overtime may be requested, and occasional telephonic on-call coverage at night or on weekends may be required. Occasional travel to Humana offices for training or meetings may also be required.

Requirements

• Unrestricted Registered Nurse (RN) license in the state of Indiana.
• At least one (2) years of clinical nursing experience providing case management or similar healthcare services, as stated in the posting.
• Intermediate to advanced computer skills, including 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.
• Critical thinking, organization, written and verbal communication, and problem-solving skills.
• Ability to manage multiple or competing priorities in a fast-paced environment.
• Ability to use electronic information applications and software, including electronic medical records.
• Must live or reside in Indiana.
• Must be able to work a 40-hour work week, Monday through Friday, 8:00 a.m. to 5:00 p.m.; overtime may be requested to meet business needs.
• Must be willing to commute approximately 70% to meet with members.
• Must have a valid state driver’s license, personal vehicle liability insurance with limits of at least $100,000/$300,000/$100,000, and access to a reliable vehicle.
• Must complete tuberculosis screening as part of the patient-facing role.
• For home work, must use a dedicated space without ongoing interruptions to protect member PHI/HIPAA information and meet the stated internet requirements.

Nice To Haves

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

Responsibilities

• Assess and evaluate members’ needs and requirements, and guide members and families toward resources appropriate for their care and wellbeing.
• Manage members’ physical, environmental, and psychosocial health issues using a variety of strategies, approaches, and techniques.
• Identify and resolve barriers that hinder effective care.
• Build longitudinal, trusting relationships with members to improve the quality, continuity, and coordination of care.
• Coordinate members’ needed medical and non-medical services, including functional, social, and environmental services.
• Collaborate with Service Coordinators, Transition Coordinators, and other care team staff to address members’ identified needs.
• Coordinate with Medicare payers, Medicare Advantage plans, and Medicare providers as appropriate for members who are also eligible for Medicare.
• Serve as the primary point of contact for the Interdisciplinary Care Team and coordinate with members, ICT participants, and outside resources to ensure members’ needs are met.

Benefits

• Health insurance begins on day one.
• 23 days of paid vacation per year.
• 401(k) program with 100% matching of 6% after year one.
• Medical, dental, and vision benefits.
• Paid time off, company and personal holidays, and paid parental and caregiver leave.
• Short-term and long-term disability insurance.
• Life insurance.
• Bonus incentive plan based on company and/or individual performance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed