About The Position

The Field Care Coordinator (Care Coach 1) evaluates members’ needs and requirements to help them achieve or maintain optimal well-being. The role guides members and families toward appropriate care and community resources, develops member-specific care plans, and coordinates and monitors services in relation to members’ personal goals. The position focuses on Medicaid members in Miami-Dade County, Florida, and involves meeting members in their homes, assisted living facilities, long-term care facilities, and other care settings, with 75–90% local travel. The role reports to the Regional Care Coach Manager. The stated starting salary for the location is $60,000–$65,000 per year based on experience and qualifications; the broader full-time pay range is $53,700–$72,600 per year. The schedule is Monday through Friday, 8:30 a.m.–5:00 p.m., with 40 scheduled weekly hours. This patient-facing role is subject to TB screening, AHCA fingerprinting, and Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse. It also requires participation in Humana’s Driver Safety Program.

Requirements

  • Bachelor’s degree in Health Services, Social Work, Psychology, or a related field and at least 2 years of relevant experience; or Florida-licensed Registered Nurse (RN) with at least 2 years of relevant experience; or 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/Case Management experience.
  • Prior experience with Medicare and Medicaid recipients.
  • Intermediate to advanced computer skills and experience with Microsoft Office programs.
  • Valid state driver’s license and proof of personal vehicle liability insurance.
  • Complete required AHCA fingerprinting, TB screening, and Florida Level 2 background screening.
  • Work Monday through Friday, 8:30 a.m.–5:00 p.m.; 40 scheduled weekly hours.

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 additional 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, involving 75–90% local travel.
  • Assess and evaluate members’ needs and requirements to establish member-specific care plans.
  • Help ensure members receive services in the least restrictive setting that supports their well-being.
  • 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.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401(k) retirement savings plan
  • Paid time off
  • Company and personal holidays
  • Paid parental and caregiver leave
  • Short-term disability insurance
  • Long-term disability insurance
  • Life insurance
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