Field Care Coordinator at Humana

Sarasota, Florida, United States

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$60,000 – $65,000Compensation

Entry Level & New Grad, Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Reside in Sarasota, Florida
Meet one of the following: Bachelor's Degree with at least 2 years of relevant experience (Health Services, Social Work, Psychology); Registered Nurse (RN) licensed in Florida with at least 2 years of relevant experience; Licensed Practical Nurse (LPN) licensed in Florida with at least 4 years of relevant experience; Case Worker with a minimum of 6 years of Health Services/Case Management experience
Prior experience with Medicare & Medicaid recipients
Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook
AHCA Fingerprint required
Part of Humana's Tuberculosis (TB) screening program (patient-facing role)
Valid state driver's license and proof of personal vehicle liability insurance (part of Driver safety program)
Ability to work Monday-Friday 8:30am-5:00pm
75-90% local travel to visit members in homes, Assisted Living Facilities, Long Term Care Facilities, and other care settings

Responsibilities

Evaluate member's needs and requirements to achieve and/or maintain optimal wellness state
Guide members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
Assess and evaluate member's needs and requirements to establish a member-specific care plan
Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being
Plan and implement interventions to meet those needs
Coordinate services, and monitor and evaluate the case management plan against the member's personal goals
Drive services by facilitating interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member’s care as appropriate and required by comprehensive contract

Skills

Case Management

Care Planning

Member Assessment

Health Education

Medicaid

Local Travel

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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