[Remote] Care Coordinator, RN Field Based at Humana

Indiana, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, MedicaidIndustries

Requirements

Licensed Registered Nurse (RN) in the state of Indiana without restrictions
At least one (2) years of clinical experience as a nurse in providing case management or similar health care services (could be LPN experience if relevant)
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
Live/Reside in Indiana
Preferred Qualifications
Bilingual (English/Spanish) or (English/Burmese)
Prior nursing home diversion, long-term care, disease management, or case management experience
Prior management of Home and Community Based Services waivers (HCBS dual roles only)
Prior experience with Medicare & Medicaid recipients
Experience working with a geriatric population
Experience with health pro

Responsibilities

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
Facilitates 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 responsible for coordinating with the member, ICT participants, and outside resources to ensure the member’s needs are met

Skills

Key technologies and capabilities for this role

RNCare CoordinationCase ManagementMedicaidHealth AssessmentCare PlanningPatient Advocacy

Questions & Answers

Common questions about this position

What benefits are offered for this Care Coordinator position?

Health insurance begins on day one, there are 23 days of vacation with pay per year, and an aggressive 401K program matching 125% of 6% after year one.

Is this Care Coordinator role remote or field-based?

The role is field-based, with flexible work arrangements including from home, the field, offices, or in between, as part of Humana's community-focused environment.

What are the required qualifications for this position?

Candidates must be a Licensed Registered Nurse (RN) in the state of Indiana without restrictions and have at least two years of clinical experience as a nurse in providing case management or similar health care services.

What is the company culture like at Humana?

Humana fosters a caring community with close-knit teams, cross-country friendships, inclusive resource groups, and a focus on relationships to deliver better health outcomes, maintaining a welcoming environment regardless of work location.

What qualities make a strong candidate for this Care Coordinator role?

Strong candidates are caring, curious, and committed, with the required RN license in Indiana and clinical case management experience to build trusting relationships and coordinate care effectively.

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.

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