Care Coordinator (Central IL Counties)

Position Overview

• Location Type: Onsite, Hybrid (Local Travel)
• Job Type: Full Time
• Salary: Not specified (Implied: Competitive)
• Sign-on Bonus: $2000 (payable after 90 days employment)

This position offers an opportunity to join a caring community and contribute to improving member wellness. Humana Gold Plus Integrated is seeking Care Coordinators to assess and evaluate member needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families towards and facilitating interaction with resources appropriate for the care and wellbeing of members.

Requirements

• Education: Bachelor’s degree in social sciences, social work, human services, or a related field.
• Licensure:
  • Unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly.
  • Licensed Professional Counselor (LPC)
  • Licensed Social Worker (LSW)
• Residency: Must reside in Central IL counties in the State of Illinois (primarily in the Lincoln, Clinton, and Decatur areas).
• Experience: 1-year experience in health care and/or case management.
• Knowledge: 1-year experience with Medicare & Medicaid recipients and/or long-term care and/or Home and Community based services and/or working with... (description incomplete)

Responsibilities

• Ensures members are receiving 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 use of assessment, data, conversations with member, and active care planning.
• Guides members/families towards resources appropriate for their care.
• Facilitates interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member’s care as appropriate and required by our comprehensive contract.
• Conducts home visits to Medicaid members in their homes, Assisted Living Facilities, and/or Long-Term Care Facilities and other care settings – 75-90% local travel.

Application Instructions

• (Information missing - Application instructions not provided in the job description.)

Company Information

• Company: Humana Gold Plus Integrated
• Focus: Improving member wellness and providing integrated care services.