Field Service Coordinator (D16)

Humana

1d • Remote

About The Position

Become a part of our caring community and help us put health first The Service Coordinator (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 Service Coordinator work assignments are often straightforward and of moderate complexity. The Service Coordinator (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.

Requirements

• Prior experiences in health care and/or case management.
• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
• Proven ability of critical thinking, organization, written and verbal communication and problem- solving skills.
• Ability to manage multiple or competing priorities in a fast-paced environment.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.
• Individual continuously employed as a care manager by an AAA since June 30, 2018; OR
• Licensed practical nurse, or an associate’s degree in nursing with at least one (1) year of experience serving the program population; OR
• Bachelor's degree in Social Work, Psychology, Counseling, Gerontology, Nursing or Health & Human Services with at least (2) years of experience; OR
• Bachelor’s degree in any field with a minimum of two (2) years full-time, direct service experience with older adults or persons with disabilities (this experience includes assessment, care plan development, and monitoring); OR
• Master's degree in Social Work, Psychology, Counseling, Gerontology, Nursing or Health & Human Services with at least (2) years of experience; OR
• Associate’s degree in any field with a minimum of four (4) years full-time, direct service experience with older adults or persons with disabilities (this experience includes assessment, care plan development, and monitoring).
• Must reside in Evansville IN or surrounding area
• Valid state driver's license
• Proof of personal vehicle liability insurance with at least $100,000/$300,000/$100,000 limits
• Access to a reliable vehicle

Nice To Haves

• Bilingual (English/Spanish)
• Bilingual (English/Burmese)
• Prior nursing home diversion or long-term care case management experience
• Prior experience with Medicare & Medicaid recipients
• 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

Responsibilities

• Administer initial and ongoing long-term services and support (LTSS) related assessments through person-centered thinking approaches
• Contacts members both telephonically and/or in-person to establish goals and priorities, evaluate resources, develop plan of care and identify LTSS providers and community partnerships to provide a combination of services and supports that best meet the needs and goals of member and caregiver through person centered thinking approaches.
• Development and continuous modification of Service Plan and involve applicable members of the care team in care planning (Informal caregiver coach, PCP, etc.)
• Support members through navigation of their LTSS and related environmental and social needs Utilize available information pertaining to member to prevent the need for administration of duplicative assessments.
• Focuses on supporting members and/or caregivers in accessing long term services and support, social, housing, educational and other services, regardless of funding sources to meet their needs.
• Build trust and promote independence through a collaborative relationship with the Care Coordinator, member and caregiver.
• Identify transition opportunities and work closely with transition coordinators to support member choice.
• Coordinating with Care Coordinator on referrals for non-capitated services and capturing all services the member is receiving (regardless of payer), including their natural supports.
• Coordinating and consulting with Humana-contracted providers regarding delivery of LTSS services
• Participates in interdisciplinary Care team meetings (ICT)
• Connecting and referring members to community resources and third-party payers
• Assisting members in maintaining Medicaid eligibility
• Collaborate with Medical Director/Geriatrician/Care Coordinator as deemed necessary to ensure cohesive, holistic service delivery and support positive member outcomes.

Benefits

• Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level