Field Service Coordinator

Humana

8d • Remote

About The Position

The Field Service Coordinator (Care Coach 1) assesses and evaluates member's needs and requirements. This is done to achieve and/or maintain optimal wellness state. The coordinator guides members/families toward resources appropriate for the care and wellbeing of members, and facilitates interaction with these resources. 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. This meeting is an opportunity to spend quality time assessing their needs and barriers. Afterwards, the role connects our members with quality services to promote their ultimate well-being and drive health outcomes.

Requirements

• Service Coordinators (Care Coach 1) shall meet one of the following qualifications: Individual employed as a care manager by an AAA since June 30, 2018; OR Registered nurse, a 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 A bachelor's degree in any field is required. It must be accompanied by a minimum of two years of 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 An associate's degree in any field is required. Additionally, a minimum of four years of full-time, direct service experience with older adults or persons with disabilities is necessary. This experience should include assessment, care plan development, and monitoring.
• Must Reside in the Columbus IN or surrounding counties
• Must meet all following requirements:
• Prior experiences in health care or case management
• Ability to use a variety of electronic information applications/software programs including electronic medical records.

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.
• 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 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. The contacts also evaluate resources, develop a plan of care, and identify LTSS providers and community partnerships. These 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 on member to prevent the need for administration of duplicative assessments. Focus on supporting members and 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

• 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
• Number of Employees: 5,001-10,000 employees