Telephonic Intermediate Care Coach

About the Role

Become a part of our caring community and help us put health first. Join Humana Gold Plus-Integrated in Illinois as an Intermediate Care Coach and make a meaningful impact on the lives of our members every day. In this rewarding role, you will assess individual needs and empower members and their families to achieve their highest level of wellness by connecting them to vital resources and support. As a key contributor to our care team, you will tackle a variety of assignments that enhance our program and drive positive health outcomes. If you are passionate about guiding others to better health and enjoy working in a collaborative, dynamic environment, we invite you to help us shape the future of care at Humana.

Key Responsibilities

• Employs a variety of strategies, approaches and techniques to support a member's optimal wellness state by coordinating services & resources telephonically.
• Identifies and resolves barriers that hinder effective care.
• Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessments, data, conversations with member, and active care planning.
• Acts as mentor and participates in the training of other Care Coaches.
• Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
• Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.
• Follows established guidelines/procedures.

Required Qualifications

• Education: Bachelor’s degree in a health or social service-related field or LPN licensure in Illinois.
• Experience:
  • 3 or more years of case management experience.
  • Experience utilizing Microsoft Word, Excel and Outlook.
  • Experience with electronic information applications/software programs.
  • Experience with health promotion, coaching and wellness.
  • Prior experience with Medicare & Medicaid recipients.
  • Managed care experience.

Preferred Qualifications

• Bilingual English/Spanish.
• Case Management Certification (CCM).
• Master's degree in a health or social service-related field.
• Applicable state license in field of study.
• Knowledge of community health and social service agencies and additional community resources.
• Experience with case management, discharge planning and patient education for adult acute care.
• Clinical experience in acute, rehab or long term acute care settings.

Workstyle & Location

• Employment Type: Full time
• Workstyle: Remote, work from home.
• Work Location: Illinois preferred
• Typical Work Days/Hours: Monday – Friday, 8:00am – 5:00pm CST, occasional flexibility in scheduling may be required to accommodate member needs.
• Internet Requirements: Minimum download speed of 25 Mbps and upload speed of 10 Mbps. Wired cable or DSL connection suggested. Satellite, cellular, and microwave connections require leadership approval.
• Internet Stipend: Employees in California, Illinois, Montana, or South Dakota will receive a bi-weekly payment for internet expenses.
• Equipment: Humana will provide necessary telephone equipment.
• Work Environment: Must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• Travel: Occasional travel to Humana's offices for training or meetings may be required.

Hiring Process

• Interview Technology: HireVue will be used to enhance the hiring and decision-making process, allowing for a connection at a time that best suits your schedule.