Care Coordinator, RN

About the Role

Employment Type: Full time

Become a part of our caring community and help us put health first. Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. This position serves members of the new Indiana Medicaid program - Indiana PathWays for Aging (PathWays). The program was designed to help more Hoosiers who choose to age at home, do so, and to achieve better access to services, and better health and quality outcomes.

You will be part of a caring community at Humana. When you meet us, you can tell we started as a hometown company. We are proud of our Louisville roots and, as we have grown, that community feeling has spread across all 50 states and Puerto Rico. No matter where you are—whether you are working from home, from the field, from our offices, or from somewhere in between—you will feel welcome here. We are a caring community made of close-knit teams, cross-country friendships, and inclusive resource groups, all gathered around one big table where everyone’s voice is heard and respected. Community is a verb here. It is up to each of us to care for it and maintain it. Because the relationships we form will help us deliver better health outcomes for the people we so proudly serve.

Are you caring, Curious and Committed? If so, apply today!

Position Responsibilities

The Care Coordinator 2 employs a variety of strategies, approaches, and techniques to manage a member’s physical, environmental, and psycho-social health issues.

• Identifies and resolves barriers that hinder effective care.
• Facilitate the development of a longitudinal and trusting relationship with each member toward improved quality, continuity, and coordination of care.
• Responsible for the coordination of all the member’s needed medical and non-medical services, including functional, social, and environmental services.
• Works collaboratively with the Service Coordinator, Transition Coordinator, and other care team staff to address the member’s identified needs.
• Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers as appropriate to coordinate the care and benefits of members who are also eligible for Medicare.
• Primary point of contact for the Interdisciplinary Care Team (ICT) and shall be responsible for coordinating with the member, ICT participants, and outside resources to ensure the member’s needs are met.
• Use your skills to make an impact.

Required Qualifications

• Perform job responsibility in Indiana.
• Licensed Registered Nurse (RN) in the state of Indiana without restrictions.
• At least one (1) year of experience in providing case management or similar health care services.
• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
• Proven ability of critical thinking, organization, written and verbal communication and problem-solving skills.
• Ability to manage multiple or competing priorities in a fast-paced environment.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.

Preferred Qualifications

• Bilingual (English/Spanish) or (English/Burmese).
• Prior nursing home diversion or long-term care case management experience.
• Prior experience with Medicare & Medicaid recipients.
• Experience working with a geriatric population.
• Experience with health promotion, coaching and wellness.
• Knowledge of community health and social service agencies and additional community resources.
• Live/Reside in Indiana.

About Humana

• Health Insurance begins on day one!
• 23 days of vacation with pay per year.
• Aggressive 401K program matching 125% of 6% after year one!
• Your growth