Field Care Coordinator

Humana•Work at Home - Florida, FL

10d•$53,700 - $72,600•Remote

About The Position

The Care Coach 1 assesses and evaluates members’ needs and requirements to help achieve or maintain optimal wellness. The role guides members and families toward appropriate resources and facilitates interactions that support members’ care and wellbeing. Work assignments are often straightforward and of moderate complexity. This position serves Medicaid members in Lake County, Florida. It involves meeting members in their homes, assisted living facilities, long-term care facilities, and other care settings, with 75–90% local travel. The Care Coach spends time assessing members’ needs and barriers, establishing member-specific care plans, and connecting them with services to promote wellbeing and health outcomes. The role coordinates services and works with payer sources, providers, interdisciplinary teams, and others involved in members’ care. The position is remote, with occasional travel to Humana offices for training or meetings. Home or hybrid home/office employees must have internet service with at least 25 Mbps download and 10 Mbps upload speeds and a dedicated workspace that protects member PHI/HIPAA information. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m., for 40 hours per week. The posting lists a current starting salary of $62,000–$66,000 based on qualifications and experience and a broader pay range of $53,700–$72,600 per year. This is a patient-facing role subject to Humana’s TB screening program, AHCA fingerprinting, and Florida Level 2 background screening. It is also part of Humana’s driver safety program and requires a valid state driver’s license and proof of personal vehicle liability insurance meeting minimum requirements.

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.
Must live in Lake County, Florida.
Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
AHCA fingerprinting is required.
Must complete TB screening as part of the patient-facing role.
Must have a valid state driver’s license and proof of personal vehicle liability insurance meeting minimum requirements.
Ability to work Monday through Friday, 8:30 a.m. to 5:00 p.m.
For home or hybrid home/office work, internet service must provide at least 25 Mbps download and 10 Mbps upload speeds, and the employee must work from a dedicated space that protects member PHI/HIPAA information.
Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse is required for candidates applying from a Florida work location.

Nice To Haves

Bilingual English/Spanish skills and ability to pass a Language Proficiency Exam.
Community Health Worker qualification.
Prior nursing home diversion or long-term care case management experience.
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 payer sources, providers, interdisciplinary teams, and others involved in members’ care, as appropriate and required by the comprehensive contract.
Provide members with health education, motivation, and encouragement.