Field Care Coordinator

Humana•Jacksonville, FL

1d•$53,700 - $72,600•Remote

About The Position

The Care Coach 1 evaluates members’ needs and requirements to help them achieve or maintain optimal wellness. The role guides members and families toward appropriate care and wellbeing resources and facilitates access to those resources. The work is often straightforward and of moderate complexity, and reports to the Regional Care Coach Manager. The position serves Medicaid members in St. John and Duval Counties, Florida. Care Coaches meet members in their homes, assisted living facilities, long-term care facilities, and other care settings. The role involves assessing needs and barriers, creating member-specific care plans, coordinating services, and monitoring progress toward members’ personal goals. The position is remote with 75–90% local travel and occasional travel to Humana offices for training or meetings. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m., with 40 scheduled weekly hours.

Requirements

Meet one of the following qualification pathways: a bachelor’s degree in Health Services, Social Work, Psychology, or a related field with at least 2 years of relevant experience; Florida-licensed Registered Nurse (RN) with at least 2 years of relevant experience; Florida-licensed Licensed Practical Nurse (LPN) with at least 4 years of relevant experience; or Case Worker with at least 6 years of Health Services or Case Management experience.
Prior experience with Medicare and Medicaid recipients.
AHCA fingerprinting is required.
Must complete tuberculosis screening if selected, as the role is patient-facing and part of Humana’s TB screening program.
Must have a valid state driver’s license and proof of personal vehicle liability insurance with limits of at least 100,000/300,000/100,000.
For home or hybrid work, internet service must provide at least 25 Mbps download and 10 Mbps upload; a dedicated workspace without ongoing interruptions is required to protect member PHI/HIPAA information.
Florida-based candidates are subject to Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse.

Nice To Haves

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

Responsibilities

Visit Medicaid members in their homes, assisted living facilities, long-term care facilities, and other care settings.
Assess and evaluate members’ needs and requirements to establish member-specific care plans.
Ensure members receive services in the least restrictive setting to achieve or maintain optimal wellbeing.
Plan and implement interventions to meet members’ needs.
Coordinate services and monitor and evaluate case management plans against members’ 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 members’ care, as appropriate and required by the comprehensive contract.
Provide health education and encouragement to members.