Care Management Coordinator
CVS HealthSalary not specified
- Full Time
- Junior (1 to 2 years)
$2,000 – $2,000Compensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
Candidates must possess a Bachelor’s degree in social sciences, social work, human services, or a related field, or hold an Unrestricted Licensed Practical Nurse (LPN) in the state of 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 1+ years of experience in health care and/or case management, including 1+ years of experience with Medicare & Medicaid recipients, long-term care, and Home and Community based services, along with intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
Responsibilities
The Care Coordinator will ensure members are receiving services in the least restrictive setting to achieve optimal well-being by assessing their care needs, identifying and resolving barriers hindering effective care, planning and implementing interventions to meet care needs, coordinating services, monitoring, and evaluating the case management plan against member goals, and guiding members/families towards resources appropriate for their care. They will also visit Medicaid members in their homes, Assisted Living Facilities, and/or Long-Term Care Facilities, and other care settings, and facilitate interactions with other payer sources, providers, and interdisciplinary teams, as well as actively monitor patient care through assessments, data, and conversations with members to ensure they are progressing towards desired outcomes. Additionally, the Care Coordinator will be involved in Humana’s Tuberculosis (TB) screening program and driver safety program, requiring a valid state driver’s license and appropriate insurance coverage.
Skills
Care Coordination
Assessment
Care Planning
Resource Navigation
Interdisciplinary Collaboration
Monitoring and Evaluation
Barrier Resolution
Patient Engagement
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