[Remote] Care Coach District 14 at Humana

Indiana, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Bachelor's degree in health and human services field
2 or more years of related experience
Knowledge of Microsoft Office Word and Excel
Exceptional verbal/written communication and interpersonal skills
Ability to use a variety of electronic information applications/software programs
This role is considered patient facing and is part of Humana's TB screening program; must be screened for TB
Must have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits
Must physically reside in Clark, Scott, Harrison, or Floyd County

Responsibilities

Administer initial and ongoing long-term services and support related assessments through person-centered thinking approaches
Contact members telephonically and/or in-person to establish goals and priorities, evaluate resources, develop plan of care and identify LTSS providers and community partnerships to meet member and caregiver needs through person-centered thinking
Development and continuous modification of Service Plan and involvement of applicable members of the care team in care planning (Informal caregiver coach, PCP, etc.)
Support members through navigation of their LTSS and related environmental and social needs
Utilize available information pertaining to member to prevent the need for duplicative assessments
Focus on supporting members and/or caregivers in accessing LTSS, social, housing, educational and other services, regardless of funding sources
Build trust and promote independence through a collaborative relationship with the Care Coordinator, member and caregiver
Identify transition opportunities and work with transition coordinators to support member choice
Coordinating with Care Coordinator on referrals for non-capitated services and capturing all services the member is receiving (regardless of payer), including natural supports
Coordinating and consulting with Humana-contracted providers regarding delivery of LTSS services
Participates in interdisciplinary Care team meetings (ICT)
Connecting and referring members to community resources and third-party payers
Assisting members in maintaining Medicaid eligibility
Collaborate with Medical Director/Geriatrician/Care Coordinator as deemed necessary to ensure cohesive, holistic service delivery and positive member outcomes

Skills

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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