[Remote] Care Coordinator, RN Field Based at Humana

Indiana, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Candidates must be a Licensed Registered Nurse (RN) in the state of Indiana without restrictions, and possess at least one (1) year of experience in providing case management or similar health care services. Intermediate to advanced computer skills, including proficiency in Microsoft Word, Excel, and Outlook, are required, along with exceptional communication and interpersonal skills, critical thinking abilities, and the capacity to manage multiple priorities.

Responsibilities

The Care Coordinator 2 will employ various strategies to manage a member’s physical, environmental, and psycho-social health issues, identify and resolve barriers to effective care, facilitate a longitudinal relationship with members, coordinate medical and non-medical services, collaborate with care teams, coordinate with Medicare payers, and serve as the primary point of contact for the Interdisciplinary Care Team. They will utilize electronic information applications/software programs and leverage their skills to make an impact within the Indiana PathWays for Aging program.

Skills

Care Coordination

Health Assessment

Resource Facilitation

Barrier Resolution

Psycho-social Support

Environmental Management

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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