Care Management Coordinator
CVS HealthSalary not specified
- Full Time
- Junior (1 to 2 years)
Not SpecifiedCompensation
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 be an Unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with one (1) 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). Furthermore, candidates must reside in Lake County, Illinois, preferably in or near Libertyville or Mundelein, and have at least one year of experience in healthcare and/or case management, specifically with Medicare & Medicaid recipients and/or long-term care and/or Home and Community based services.
Responsibilities
The Care Coordinator will assess and evaluate member needs to achieve and maintain optimal wellness, guide members and families towards appropriate resources, and coordinate services to meet care needs. They will ensure members are receiving services in the least restrictive setting, identify and resolve barriers to effective care, plan and implement interventions, monitor and evaluate care plans, and facilitate interactions with various stakeholders, including providers and payer sources. The Care Coordinator will also conduct home visits to Medicaid members in facilities and other care settings, with 75-90% local travel, and continuously monitor patient care through assessment, data, conversations, and active care planning.
Skills
Care Coordination
Assessment
Care Planning
Resource Navigation
Interdisciplinary Collaboration
In-home Visits
Medicare & Medicaid
Long-term Care
Home and Community Based Services
Data Monitoring
Barrier Resolution
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.
Key Metrics
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees