DSNP Care Coach

Humana•Columbia, SC

3d•Remote

About The Position

Become a part of our caring community and help us put health first The Care Coach directly contributes to improved health outcomes and service efficiency for the D-SNP population. In this role you will evaluate 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. The Dual-Special Needs Plan (D-SNP) Care Coach employs a variety of strategies, approaches and techniques to support a member's optimal wellness state by coordinating services & resources. Identifies and resolves barriers that hinder effective care. Ensures patients progress towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning. Facilitating the identification and referral process for D-SNP members to ensure timely access to appropriate services. Promoting clear and consistent communication among healthcare providers to enhance care delivery. Coordinating services to avoid duplication and to ensure that all member health needs are fully addressed. Acting as a primary contact for external partners and agencies, providing updates on member status and services. The D-SNP Care Coach collaborates with D-SNP coordinators to support value-added benefits and DSNP comprehensive member rounding, thereby ensuring holistic case management for dual-eligible individuals. Use your skills to make an impact

Requirements

Must have a license as a Social Worker, LPN, or RN
2 or more years of case management or care coordination experience
Knowledge of Microsoft Office Word and Excel
Exceptional verbal/written communication and interpersonal skills
Ability to use a variety of electronic information applications/software programs
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Nice To Haves

Resides in South Carolina
Experience with Medicaid or Medicare

Responsibilities

Evaluate member's needs and requirements to achieve and/or maintain optimal wellness state
Guide members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
Coordinate services & resources
Identify and resolve barriers that hinder effective care
Monitor patient care through use of assessment, data, conversations with member, and active care planning
Facilitate the identification and referral process for D-SNP members to ensure timely access to appropriate services
Promote clear and consistent communication among healthcare providers to enhance care delivery
Coordinate services to avoid duplication and to ensure that all member health needs are fully addressed
Act as a primary contact for external partners and agencies, providing updates on member status and services
Collaborate with D-SNP coordinators to support value-added benefits and DSNP comprehensive member rounding

Benefits

Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future
Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.