Care Management Coordinator
CVS Health- Full Time
- Junior (1 to 2 years)
Candidates must possess a Bachelor’s degree in social sciences, social work, human services, or a related field, or be an Unrestricted Licensed Practical Nurse (LPN) in Illinois with one year of experience conducting comprehensive assessments and providing formal services for the elderly, or be a Licensed Professional Counselor (LPC) or Licensed Social Worker (LSW). Applicants must reside in Cook County, Illinois, preferably in or near Chicago Midway zip codes, and have at least one year of experience in health care, case management, Medicare & Medicaid recipients, long-term care, or Home and Community based services, and experience with managed care organizations. Intermediate to advanced computer skills, including proficiency in Microsoft Word, Excel, and Outlook, are also required, along with the ability to use electronic information applications/software programs and exceptional communication and interpersonal skills.
The Care Coordinator will ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs, identify and resolve barriers hindering effective care, plan and implement interventions to meet care needs, coordinate services, monitor, and evaluate the case management plan, guide members/families towards resources, and visit Medicaid members in their homes, Assisted Living Facilities, and/or Long-Term Care Facilities to facilitate interactions with other payer sources, providers, and interdisciplinary teams.
Health insurance provider for seniors and military
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.