Field Care Coordinator

HumanaClermont, FL
$53,700 - $72,600Remote

About The Position

The Care Coach 1 assesses and evaluates 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 Care Coach 1 role involves meeting members in their location, spending quality time assessing their needs and barriers and then connecting our members with quality services to promote their ultimate well-being and drive health outcomes. This role is for individuals who enjoy applying their creativity and skills to help those in need find long term solutions. Humana thrives on teamwork and highlighting the success of each of its team members. A main area of focus is to inspire health in others. Individuals who enjoy talking to others about their health while providing education, motivation and encouragement are desired. Humana also desires to cultivate the uniqueness in each of its associates as well as its members and is looking for individuals from various backgrounds who can bring their expertise to the role of the Care Coach 1. This role involves visiting Medicaid members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities and other care settings, with 75-90% local travel. The role requires assessing and evaluating member's needs and requirements in order to establish a member-specific care plan, ensuring members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being. It also involves planning and implementing interventions to meet those needs, coordinating services, and monitoring and evaluating the case management plan against the member's personal goals. 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 the comprehensive contract.

Requirements

  • Bachelor's Degree with at least 2 years of relevant experience (Health Services, Social Work, Psychology)
  • Registered Nurse (RN), licensed in the state of Florida with at least 2 years of relevant experience.
  • Licensed Practical Nurse (LPN), licensed in the state of Florida, with at least 4 years of relevant experience
  • 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 and experience with Microsoft Word, Excel and Outlook
  • AHCA Fingerprint Required.
  • This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program.
  • 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
  • Ability to work Monday-Friday 8:30am-5:00pm

Nice To Haves

  • Bilingual English/Spanish with ability to pass a Language Proficiency Exam
  • Community Health Worker
  • 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 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

Responsibilities

  • Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities and other care settings – 75-90% local travel
  • Assesses and evaluates member's needs and requirements in order to establish a member specific care plan
  • Ensures members are receiving services in the least restrictive setting in order to achieve and/or maintain optimal well-being
  • Planning and implementing interventions to meet those needs
  • Coordinating services, and monitoring and evaluating the case management plan against the member's personal goals
  • Guides 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

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
  • Medical, dental and vision benefits
  • Short-term and long-term disability
  • Life insurance
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