[Remote] Care Coach - Transition Coordinator at Humana

Oklahoma, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Must reside in Oklahoma
Licensed Practical Nurse, without restrictions, licensed in the state of Oklahoma
1+ years of experience in hospital and/or Medicare/Medicaid Programs
Prior experience in care and/or case management
Exceptional communication and interpersonal skills
Knowledge of community health and social service agencies and additional community resources
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
Experience working with Medicaid and/or Medicare Enrollees to coordinate services, care needs, or benefits
Valid state driver's license
Personal vehicle liability insurance

Responsibilities

Facilitates, promotes, and advocates for Enrollee’s ongoing self-sufficiency and independence
Oversees Enrollee transition and discharge planning activities between healthcare settings, managed care entities, and age transitions
Assists enrollees with care transitions collaborating with the interdisciplinary team, facilities, and enrollees and/or their representatives
Possible travel to Humana Oklahoma office for meetings and training

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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