Description

The Care Coach Coordinator 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 Care Coach Coordinator work assignments are often straightforward and of moderate complexity.

Responsibilities

The LTSS Care Coach employs a variety of strategies, approaches and techniques to manage a member's health issues.

• Identifies and resolves barriers that hinder effective care.
• Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning.
• Understands own work area professional concepts/standards, regulations, strategies and operating standards.
• Makes decisions regarding own work approach/priorities, and follows direction.
• Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.

The LTSS Care Coach assesses and evaluates member's needs and requirements in order to establish a member specific care plan and coordinates services.

• Ensures members are receiving services in the least restrictive setting in order to achieve and/or maintain optimal well-being by assessing their care needs.
• Plan and implement interventions to meet care needs.
• Coordinates services, monitors and evaluates the case management plan against the member's personal goals.
• Guides members/families towards resources appropriate for their care. Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams and others involved in the member’s care as appropriate and required by our comprehensive contract.
• Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities and other care settings – 75-90% local travel. (see Additional Information Below)

Required Qualifications

The Care Coach Coordinator must meet one (1) of the following requirements:

• Bachelor’s degree in social sciences, social work, human services or a related field with – one (1) year of experience in long term care, hospital and/or Medicare/Medicaid Program experience, plus a minimum of two (2) years of experience conducting comprehensive assessment of the elderly population OR
• Unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly.
• Licensed Professional Counselor (LPC) OR
• Licensed Social Worker (LSW)

The Care Coach Coordinator must meet all of the following requirements:

• 1 year experiences in health care and/or case management.
• 1 year experience with Medicare & Medicaid recipients and/or long term care and/or Home and Community based services and/or working with managed care organizations.
• 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

Workstyle: Field Position (member facing)

Location: Prefer Springfield, Shelbyville and Decatur, IL

Alternate Locations: Salem Illinois, South Central Illinois, Terre Haute Indiana

• Work Schedule: Monday – Friday; 8am – 5pm. Flexible with work schedule based on business needs if needed.
• Travel: 75 – 90% travel in the field to visit members (see Additional Information below)

Tuberculosis(TB) Screening:

​ This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB

Drivers License, Automobile Insurance Policy:

• Possession of a valid driver's license and access to a reliable automobile
• This role is part of Humana’s Driver safety program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.

Work at Home Guidance

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
• Satellite, cellular and microwave connection can be used only if approved by leadership
• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

#ThriveTogether #WorkAtHome

Additional Information:

Covid Policy:

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Interview Process:

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Job Type: Full-time

Pay: $26.00 - $27.93 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Paid training
• Travel reimbursement
• Tuition reimbursement
• Vision insurance

Medical specialties:

• Geriatrics

Standard shift:

• Day shift

Experience:

• Home Care or field community care: 1 year (Required)
• Computer skills: 2 years (Required)
• Microsoft Word: 2 years (Required)
• Microsoft Outlook: 2 years (Required)

License/Certification:

• LVN or Social Worker (Required)

Willingness to travel:

• 75% (Required)

Work Location: On the road

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