Nurse Practitioner (Telehealth)- Complex Care
Devoted HealthFull Time
Senior (5 to 8 years), Expert & Leadership (9+ years)
Candidates must possess a Bachelor's degree in a health or social service-related field or an LPN license in Illinois, along with at least 2 years of case management experience. Proficiency in Microsoft Word, Excel, and Outlook, as well as experience with electronic information applications, is required. Bilingual English/Spanish skills, a Certified Case Manager (CCM) credential, a Master's degree in a health or social service field, prior experience with Medicare & Medicaid recipients, and experience with electronic case note documentation and health promotion are preferred.
The Care Coach will conduct comprehensive assessments, identify member needs, and guide members and their families to essential resources. They will employ various strategies to manage members' health issues telephonically, identify and resolve barriers to effective care, and monitor patient progress through assessments, data, conversations, and care planning. Responsibilities include understanding professional concepts, standards, regulations, strategies, and operating standards within their work area, making decisions regarding their work approach and priorities, and following established guidelines and procedures.
Health insurance provider for seniors and military
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.