Field Service Coordinator

HumanaWork at Home - Indiana, IN
$53,700 - $72,600Remote

About The Position

The Care Coach evaluates member's needs to achieve or maintain wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Coach 1 work assignments are often straightforward and of moderate complexity. The Service Coordinator (Care Coach 1) assesses and evaluates member's needs. We do this to achieve and/or maintain an optimal wellness state. The coordinator guides members/families toward resources and facilitates interaction with them. These resources are 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. It also involves spending quality time assessing their needs and barriers. Then, it connects our members with quality services to promote their ultimate well-being and guide health outcomes.

Requirements

  • Bachelor's degree in health and human services field
  • 2 or more years of related experience
  • We consider this role patient facing and Humana's Tuberculosis (TB) screening program includes it. If selected for this role, we will require you to screen for TB.
  • Must be passionate about contributing to an organization focused on improving consumer experiences
  • You will belong to Humana's driver safety program and therefore Humana requires you to have a valid state driver's license and expects them to maintain personal vehicle liability insurance.
  • Individual must carry vehicle insurance following their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per accident /$10,000 for property damage or whichever is higher
  • Must have a separate room with a locked door that can be used as a home office to ensure privacy while you work
  • You will serve the Indianapolis IN metro area. You must reside in this area to be considered

Nice To Haves

  • Prior experience with Medicare & Medicaid recipients
  • Previous experience with electronic case note documentation and experienced with documenting in multiple computer applications
  • Experience with health promotion, coaching and wellness
  • Knowledge of community health and social service agencies and additional community resources

Responsibilities

  • Administer ongoing long-term services and support (LTSS) related assessments through person-centered thinking approaches
  • Contacts members both telephonically or in-person to establish goals and priorities.
  • Evaluate resources, developing a plan of care, and identifying LTSS providers and community partnerships.
  • Provide a combination of services and supports that best meet the needs and goals of the member and caregiver through person-centered thinking approaches.
  • Development and modification of Service Plan and involve applicable members of the care team in care planning (Informal caregiver coach, PCP)
  • Support members through navigation of their LTSS and related environmental and social needs
  • Use available information about member to prevent the need for administration of duplicative assessments.
  • Focus on supporting members 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 with transition coordinators to support member choice.
  • Coordinate with Care Coordinator on referrals for non-capitated services and capturing all services the member is receiving (regardless of payer), including their natural supports.
  • Coordinate and consult with Humana-contracted providers regarding delivery of LTSS services
  • Participate in interdisciplinary Care team meetings (ICT)
  • Connect and refer members to community resources and third-party payers
  • Assist members in maintaining Medicaid eligibility
  • Collaborate with Medical Director/Geriatrician/Care Coordinator as deemed necessary to ensure cohesive, holistic service delivery positive member outcomes.

Benefits

  • 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
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