Transitions Coordinator

Humana • Louisiana, MO

8d • Remote

About The Position

Become a part of our caring community and help us put health first The Transition 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. This role reports to the Manager Care Management Behavioral Health. The Transitions Coordinator: Focuses on triaging cases telephonically throughout the state Facilitates, promotes, and advocates for the enrollees’ ongoing self-sufficiency and independence. Oversee member transition and discharge planning activities who are between health care settings and/or new to the plan Actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team, facilities, and enrollees and/or the enrollees' representatives Employs a variety of strategies, approaches, and techniques to manage a member's health issues Use your skills to make an impact

Requirements

• The Transition Coordinator must meet one (1) of the following requirements: Bachelor’s degree in social sciences, social work, human services, or a related field with – Two (2) years of hospital and/or Medicare/Medicaid Program experience OR Unrestricted Licensed Practical Nurse (LPN) in the state of Louisiana with one (1) year experience in working with Behavioral Health
• The Transition Coordinator must meet all of the following requirements: Minimum two (2) years’ experience with care management, discharge planning and/or patient education
• Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel
• Ability to use a variety of electronic information applications/software programs including electronic medical records
• Exceptional communication and interpersonal skills with the ability to quickly build rapport
• Ability to work with minimal supervision within the role and scope
• Must reside and conduct work in the state of Louisiana
• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

• Health Plan experience
• Fluent in Spanish, French Creole, or Vietnamese
• Experience working with Medicare, Medicaid and dual-eligible populations
• Experience with health promotion, coaching and wellness.
• Knowledge of community health and social service agencies and additional community resources.

Responsibilities

• Focuses on triaging cases telephonically throughout the state
• Facilitates, promotes, and advocates for the enrollees’ ongoing self-sufficiency and independence.
• Oversee member transition and discharge planning activities who are between health care settings and/or new to the plan
• Actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team, facilities, and enrollees and/or the enrollees' representatives
• Employs a variety of strategies, approaches, and techniques to manage a member's health issues

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