Telephonic Intermediate Care Coach

Illinois, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must possess a Bachelor's degree in a health or social service-related field or LPN licensure in Illinois, along with at least 3 years of case management experience. Proficiency in Microsoft Word, Excel, and Outlook, experience with electronic information applications, health promotion, coaching, and wellness are required. Prior experience with Medicare & Medicaid recipients and managed care experience are also necessary. Preferred qualifications include bilingual English/Spanish skills, Case Management Certification (CCM), a Master's degree in a health or social service-related field, applicable state license, knowledge of community health and social service agencies, and experience with case management, discharge planning, and patient education for adult acute care, as well as clinical experience in acute, rehab, or long term acute care settings.

Responsibilities

The Intermediate Care Coach will employ various strategies to support a member's optimal wellness state by coordinating services and resources telephonically. They will identify and resolve barriers to effective care, continuously monitor patient progress through assessments and active care planning, and act as a mentor while participating in the training of other Care Coaches. The role involves understanding department, segment, and organizational strategy and making decisions regarding work methods, occasionally in ambiguous situations, while following established guidelines and procedures.

Skills

Case Management

Microsoft Word

Microsoft Excel

Microsoft Outlook

Electronic Health Records

Health Promotion

Coaching

Wellness

Medicare

Medicaid

Managed Care

Care Planning

Problem-Solving

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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