[Remote] Care Coach at Humana

Virginia, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Candidates must reside within a 30-mile radius of Waynesboro, Virginia, and possess a Bachelor's degree in a health or human services field or an active LPN license in Virginia. They should have two years of prior experience in healthcare and/or case management, and one year of experience working directly with individuals meeting Cardinal Care Priority Population criteria. Intermediate to advanced computer skills, including Microsoft Word, Excel, and Outlook, are necessary, along with the ability to use various electronic information applications. Exceptional communication and interpersonal skills are required, as is the ability to manage multiple priorities and travel up to 50% for field interactions.

Responsibilities

The Care Coach will evaluate member needs to optimize wellness, manage a caseload, and develop individual care plans involving the care team. They will provide specialized support for members, focusing on health-related social needs, psychosocial support, and individual health requirements. Responsibilities include ensuring members receive services in the least restrictive setting, collaborating with community resources, monitoring patient progress, and acting as the primary point of contact for the ICT to coordinate care and resolve barriers.

Skills

Care Planning

Health Coaching

Social Needs Assessment

Psychosocial Support

Interdisciplinary Collaboration

Case Management

Community Resources

Patient Monitoring

Communication

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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