Job Description: Care Coordinator

Employment Type: Full-time

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.

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

Important: Must reside in the Barrington/Lake Zurich area in the State of Illinois (Lake/Cook County area).

Role and Responsibilities

The LTSS Care Coordinator employs a variety of strategies, approaches, and techniques to manage a member's health issues. You will understand your work area's professional concepts, standards, regulations, strategies, and operating standards, making decisions regarding your work approach and priorities while following direction. Your work will be managed and often guided by precedent, documented procedures, regulations, and professional standards with some interpretation.

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 the patient is progressing towards desired outcomes by continuously monitoring patient care through assessment, data, conversations with the member, and active care planning.
• Guides members/families toward resources appropriate for their care. Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member’s care as appropriate and required by our comprehensive contract.
• Visits Medicaid members in their homes, Assisted Living Facilities, and/or Long-Term Care Facilities and other care settings – 75-90% local travel.

Required Qualifications

Education/Licensure (Must meet ONE of the following):

• 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).

General Requirements (Must meet ALL of the following):

• Must reside in the Barrington/Lake Zurich area in the State of Illinois (Lake/Cook County area).
• 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.
• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Ability to use a variety of electronic information applications/software programs, including electronic medical records.
• Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.

Additional Requirements:

• This role is considered patient-facing and is part of Humana's Tuberculosis (TB) screening program. If selected, you will be required to be screened for TB.
• This role is part of Humana’s Driver Safety Program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.

Work at Home Requirements

• Recommended Internet Speed: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps. A wired cable or DSL connection is suggested.
• Satellite, cellular, and microwave connections can be used only if approved by leadership.

Company Information

Humana Gold Plus Integrated is committed to putting health first and fostering a caring community.