Care Coach - Humana Healthy Horizons

Employment Type: Full-time

Position Overview

Join the Humana Healthy Horizons team in Virginia as a Care Coach and play a vital role in transforming the lives of our members! As a Care Coach, you will have the unique opportunity to assess and evaluate members’ needs, guiding them and their families toward resources that promote optimal wellness. Your expertise will help connect members with the right care and support, making a meaningful difference in their health and wellbeing. If you are passionate about helping others and thrive in a role where your work has a real impact, we invite you to become a valued part of our mission to improve health outcomes in our community.

Responsibilities

• Manages a caseload of members.
• Develops and modifies Individual Care Plans and involves applicable members of the care team in care planning (Informal caregiver, coach, PCP, etc.).
• Provides specialized support for members with a focus on addressing health-related social needs (HRSNs), providing psychosocial support, and meeting the member's individualized health needs.
• 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.
• Focuses on supporting members and/or caregivers utilizing an interdisciplinary approach in accessing social, housing, educational, and other services, regardless of funding sources to meet their needs.
• Ensures members are progressing towards desired outcomes by continuously monitoring patient care through the use of assessment, data, conversations with the member, and active care planning.
• Collaborates with Community Health Workers (CHWs), Housing Specialists, and other internal and external agencies for HRSN needs.
• Serves as the primary point of contact for the ICT and is responsible for coordinating with the member, ICT participants, and outside resources to ensure the member’s needs are met.
• Employs a variety of strategies, approaches, and techniques to manage a member's health issues and identify and resolve barriers that hinder effective care.
• Understands professional concepts, regulations, strategies, and operating standards.
• Makes decisions regarding work approach/priorities and follows direction.

Required Qualifications

• Must reside in the Commonwealth of Virginia or within a 20-mile radius from Virginia in a bordering state/district (Washington DC, MD, WV, KY, TN & NC).
• Bachelor's degree in a health or human services field OR an active LPN license in the Commonwealth of Virginia without disciplinary action.
• Two (2) years of prior experience in health care and/or case management.
• One (1) year of experience working directly with individuals who meet the Cardinal Care Priority Population criteria (adults, pediatrics populations at risk for chronic medical conditions & high social needs).
• Strong advocate and respect for members at all levels of care.
• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.
• Exceptional oral and written communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
• Ability to manage multiple or competing priorities in a fast-paced environment.
• This role is considered patient-facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
• Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families as needed.
• This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and be expected to maintain personal vehicle liability insurance.
• Individual must carry vehicle insurance in accordance with state requirements.

Company Information

Become a part of our caring community and help us put health first.