Field Care Coordinator

Humana•Orlando, FL
•$53,700 - $72,600

About The Position

The Care Coach 1 assesses and evaluates members’ needs and requirements to help them achieve or maintain optimal wellness. The role guides members and families toward appropriate resources and facilitates interaction with those resources to support members’ care and well-being. Work assignments are often straightforward and of moderate complexity. The position reports to the Regional Care Coach Manager. The role serves Medicaid members in Orange County, Florida, with frequent local travel. The Care Coach meets members in their homes, assisted living facilities, long-term care facilities, and other care settings; assesses needs and barriers; and connects members with services that promote well-being and health outcomes. The position includes health education and encouragement, individualized care planning, service coordination, and ongoing evaluation of case management plans against members’ personal goals.

Requirements

  • Meet one of the following qualification paths: a bachelor’s degree in Health Services, Social Work, Psychology, or a related field with at least 2 years of relevant experience; an RN license in Florida with at least 2 years of relevant experience; or an LPN license in Florida with at least 4 years of relevant experience.
  • Prior experience with Medicare and Medicaid recipients.
  • At least 2 years of case management experience.
  • Bilingual in English and Spanish.
  • Monday–Friday schedule, 8:30 a.m.–5:00 p.m.
  • AHCA fingerprinting required.
  • Must complete tuberculosis screening as part of the patient-facing role.
  • Must have a valid state driver’s license and proof of personal vehicle liability insurance.
  • Florida Level 2 background screening is required for candidates applying from a Florida work location, including a Florida home-based work location.

Nice To Haves

  • Prior nursing home diversion or long-term care case management experience.
  • Experience with electronic case-note documentation and documentation 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; local travel is 75–90%.
  • 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 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.
  • Talk with members about their health and provide education and encouragement.

Benefits

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