Care Coach (Adults & Pediatrics)-8

Virginia, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must reside within a 20-mile radius of Woodbridge, Virginia. A Bachelor's degree in a health or human services field or an active LPN license in Virginia without disciplinary action is required, along with two years of experience in healthcare and/or case management. One year of experience working directly with individuals at risk for chronic medical conditions and high social needs is also necessary. Proficiency in Microsoft Word, Excel, and Outlook, along with the ability to use various electronic information applications and software programs, is essential. Strong communication, interpersonal skills, and the ability to travel 30-50% for field interactions are also required.

Responsibilities

The Care Coach will evaluate member needs and requirements to optimize their wellness state by guiding them towards appropriate resources. This role involves managing a caseload, developing and modifying Individual Care Plans, and providing specialized support for members' health-related social needs and psychosocial well-being. The coach will assess care needs to ensure members receive services in the least restrictive setting, collaborate with various agencies to access social, housing, and educational services, and monitor member progress towards desired outcomes. They will act as the primary point of contact for the ICT, coordinating with members, ICT participants, and external resources to meet member needs and employ strategies to manage health issues and resolve barriers to effective care.

Skills

Care Planning

Caseload Management

Health Related Social Needs (HRSNs)

Psychosocial Support

Interdisciplinary Approach

Community Resources

Patient Monitoring

Collaboration

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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