Care Coordinator - Humana Gold Plus Integrated

Position Overview

Humana Gold Plus Integrated is seeking dedicated Care Coordinators to join our caring community. In this role, you will assess and evaluate member needs and requirements to help them achieve and/or maintain optimal wellness. You will guide members and their families toward and facilitate interaction with appropriate resources for their care and well-being.

$2000 SIGN-ON BONUS for new associates! (Payable following 90 days of employment.)

Employment Type: Full-time

Location Type: (Information not provided) Salary: (Information not provided)

Key Responsibilities

• Ensures members receive services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
• Identifies and resolves barriers that hinder effective care.
• Plans and implements interventions to meet care needs.
• Coordinates services, monitors, and evaluates the case management plan against the member's personal goals.
• Ensures patient progress towards desired outcomes by continuously monitoring patient care through assessment, data, conversations with members, and active care planning.
• Guides members/families toward resources appropriate for their care by facilitating interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member’s care.
• Visits Medicaid members in their homes, Assisted Living Facilities, and/or Long-Term Care Facilities and other care settings.
• Travel: 75-90% local travel is required.

Required Qualifications

The Care Coordinator must meet one (1) of the following educational/licensure requirements:

• Bachelor’s degree in social sciences, social work, human services, or a related field.
• Unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with one (1) year of experience in conducting comprehensive assessments and providing formal services for the elderly.
• Licensed Professional Counselor (LPC).
• Licensed Social Worker (LSW).

The Care Coordinator must also meet all of the following requirements:

• Residency: Must reside in the Lake County area in the State of Illinois.
• Experience:
  • 1 year of experience in healthcare and/or case management.
  • 1 year of experience with Medicare & Medicaid recipients and/or long-term care and/or Home and Community based services and/or working with managed care organizations.
• Technical Skills: Intermediate to advanced computer skills, including experience with Microsoft Word, Excel, and Outlook. Ability to use various electronic information applications/software programs, including electronic medical records.
• Communication Skills: Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.

Additional Requirements

• Patient Facing Role: This role is considered patient-facing and is part of Humana's Tuberculosis (TB) screening program. TB screening will be required if selected for this role.
• Driver's License: This role is part of Humana’s Driver Safety program. A valid state driver’s license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits are required.

Work at Home Requirements

• Internet Connection: A minimum download speed of 25 Mbps and an upload speed of 10 Mbps is recommended. Wireless, wired cable, or DSL connection is suggested. Satellite, cellular, and microwave connections may be used only if approved by leadership.
• Location: Associates who live and work from Home in the state of California, Illino (Information incomplete)

Company Information

Become a part of our caring community and help us put health first at Humana Gold Plus Integrated.