Senior Care Coordinator - Catchment 7B, 7C

Humana • Chicago, IL

2d • $71,500 - $97,500 • Remote

About The Position

Humana Gold Plus Integrated is seeking a Senior Care Coordinator to evaluate members’ needs and guide members and families toward resources that support care, wellbeing, and optimal wellness. The role handles moderately complex to complex issues requiring in-depth evaluation of variable factors.

The Senior Care Coordinator supports team operations by coaching and mentoring colleagues, supporting training and onboarding, helping develop team processes, reviewing compliance and case activity, and assisting with audits and field work. The position also coordinates and monitors member services and case management plans, evaluates progress toward members’ goals, and facilitates interactions with providers, payer sources, interdisciplinary teams, and other parties involved in care.

This patient-facing field role includes visiting Medicaid members in their homes, long-term care facilities, and other care settings, with 75–90% local field travel. The position is based in Illinois and has a Monday–Friday schedule, typically 8 a.m.–5 p.m. CST, with flexibility and possible additional hours based on business needs. It is remote with substantial field travel; occasional travel to Humana offices for training or meetings may be required.

Requirements

• Meet one of the following: bachelor’s degree in social sciences, social work, human services, or a related field; unrestricted Illinois Licensed Practical Nurse (LPN) license with one year of experience conducting comprehensive assessments and providing formal services for the elderly; Licensed Professional Counselor (LPC); or Licensed Social Worker (LSW).
• Reside in the state of Illinois.
• Have at least 2 years of experience in health care and/or case management.
• Have at least 2 years of experience with Medicare and Medicaid recipients, long-term care, Home and Community Based Services, and/or managed care organizations.
• Have intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Be able to use electronic information applications and software, including electronic medical records.
• Have exceptional communication and interpersonal skills and the ability to build rapport with internal and external customers and stakeholders.
• Complete tuberculosis screening if selected, as this is a patient-facing role.
• Have a valid state driver’s license and proof of personal vehicle liability insurance with limits of at least 100,000/300,000/100,000.
• For work at home, have internet service meeting the stated minimum of 25 Mbps download and 10 Mbps upload, subject to the posting’s connection and leadership approval guidance.
• Work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information.

Nice To Haves

• Master’s degree in social sciences, social work, human services, or a related field.
• CCM certification.
• Experience with health promotion, coaching, and wellness.
• Expertise in community health and social service agencies and additional community resources.

Responsibilities

• Provide coverage for Care Coordinator 1 and 2 duties and document in the clinical system.
• Mentor and support the team and participate in training initiatives.
• Provide daily reports to Care Coordinators on outstanding cases and review daily compliance dashboards.
• Support audit initiatives and internal and external auditing processes for the team.
• Provide field work support and review field work reports.
• Support new-hire onboarding, including precepting and case audits.
• Coordinate services and monitor and evaluate case management plans against members’ personal goals.
• Monitor member care through assessments, data, conversations with members, and active care planning to ensure progress toward desired outcomes.
• Guide members and families toward appropriate care resources and facilitate interactions with payer sources, providers, interdisciplinary teams, and others involved in members’ care.
• Visit Medicaid members in homes, long-term care facilities, and other care settings.
• Escalate issues to the manager as needed and support team management as requested.

Benefits

• Benefits effective on day one.
• 401(k) retirement savings plan.
• Medical insurance.
• Dental insurance.
• Vision insurance.
• Supplemental insurance options.
• Tuition assistance.
• Paid time off and company and personal holidays.
• Paid parental and caregiver leave.
• Short-term and long-term disability coverage.
• Life insurance.
• Bonus incentive plan based on company and/or individual performance.
• Bi-weekly payment for internet expense for associates who live and work from home in Illinois.

What This Job Offers

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