Field Care Coordinator

Humana•Orlando, FL

11d

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 interactions that support member care and well-being. Work assignments are often straightforward and of moderate complexity. The position reports to the Regional Care Coach Manager. The Care Coach 1 works with Medicaid members in their homes, assisted living facilities, long-term care facilities, and other care settings. The role involves 75–90% local travel to meet with members, assess their needs and barriers, and connect them with services. The Care Coach develops and implements member-specific care plans, coordinates services, and monitors progress against members’ personal goals. Work is coordinated with other payer sources, providers, interdisciplinary teams, and others involved in members’ care, as appropriate and required by the comprehensive contract. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m., for 40 hours per week. The role is patient-facing and subject to Humana’s tuberculosis screening program and Florida Level 2 background screening. It also participates in Humana’s driver safety program and requires a valid state driver’s license and proof of personal vehicle liability insurance. The posting lists a current hiring range of $60,000–$65,000 per year based on experience and qualifications. It also gives a starting base pay range of $53,700–$72,600 per year, with pay varying by location and job-related qualifications. Humana offers medical, dental, and vision benefits; a 401(k) retirement savings plan; paid time off and company and personal holidays; paid parental and caregiver leave; short- and long-term disability; life insurance; and other benefits.

Requirements

Meet one of the following qualification pathways: a bachelor’s degree in a relevant field such as Health Services, Social Work, or Psychology and at least 2 years of relevant experience; Florida-licensed Registered Nurse (RN) and at least 2 years of relevant experience; or Florida-licensed Licensed Practical Nurse (LPN) and 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.
Valid state driver’s license and proof of personal vehicle liability insurance.
Complete required tuberculosis screening and Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse.
Work Monday through Friday, 8:30 a.m. to 5:00 p.m.

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 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, with 75–90% local travel.
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.
Provide health education and encouragement to members.