Humana

Care Coordinator, RN Field Based

Indiana, United States

Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Care Coordinator 2 (Field Care Manager 2) - Indiana Medicaid Program

Employment Type: Full-time

Position Overview

Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) to join our caring community. This role focuses on assessing and evaluating member needs to achieve optimal wellness, guiding members and families toward appropriate resources. This position specifically serves members of the new Indiana Medicaid program, Indiana PathWays for Aging (PathWays), designed to help Hoosiers age at home with better access to services, health, and quality outcomes.

About Humana

Humana is a caring community with deep roots. We pride ourselves on our community feeling, which has spread across all 50 states and Puerto Rico. Whether working from home, the field, or our offices, you will feel welcome. We are a community of close-knit teams, cross-country friendships, and inclusive resource groups, where everyone's voice is heard and respected. Community is a verb here, and we are committed to maintaining it to deliver better health outcomes.

Benefits:

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

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

Position Responsibilities

The Care Coordinator 2 utilizes various strategies to manage a member’s physical, environmental, and psycho-social health issues, identifying and resolving barriers to effective care.

  • Facilitate the development of longitudinal and trusting relationships with each member to improve quality, continuity, and coordination of care.
  • Coordinate all of the member’s needed medical and non-medical services, including functional, social, and environmental services.
  • Collaborate with the Service Coordinator, Transition Coordinator, and other care team staff to address the member’s identified needs.
  • Coordinate with all Medicare payers, Medicare Advantage plans, and Medicare providers to manage the care and benefits of members eligible for Medicare.
  • Serve as the primary point of contact for the Interdisciplinary Care Team (ICT), coordinating with the member, ICT participants, and outside resources to ensure member needs are met.

Required Qualifications

  • Perform job responsibilities in Indiana.
  • Licensed Registered Nurse (RN) in the state of Indiana without restrictions.
  • At least one (1) year of experience in case management or similar health care services.
  • Intermediate to advanced computer skills, including 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 in 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.

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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