Care Coordinator, RN

Indiana, United States

Apply with AI Apply

Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must be a Licensed Registered Nurse (RN) in the state of Indiana without restrictions and possess at least one year of experience in case management or similar health care services. Required skills include intermediate to advanced computer proficiency with Microsoft Word, Excel, and Outlook, exceptional communication and interpersonal abilities, proven critical thinking, organization, and problem-solving skills, and the capacity to manage multiple priorities in a fast-paced environment. Experience with various electronic information applications and software programs, including electronic medical records, is also necessary.

Responsibilities

The Care Coordinator 2 will assess and evaluate member needs to optimize wellness, guiding members and families toward appropriate resources. This role involves managing a member's physical, environmental, and psycho-social health issues, identifying and resolving barriers to effective care, and fostering trusting relationships to improve care quality and coordination. Responsibilities include coordinating all necessary medical and non-medical services, collaborating with various coordinators and care team staff, liaising with Medicare payers and providers for dual-eligible members, and serving as the primary point of contact for the Interdisciplinary Care Team to ensure member needs are met.

Skills

Care Coordination

Medicaid

Health Insurance

Case Management

Patient Assessment

Care Planning

Community Resources

Interpersonal Skills

Communication Skills

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

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

Land your dream remote job 3x faster with AI

Try Jobo Free