Telephonic Senior Care Coach

Illinois, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

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 5 years of case management experience. Proficiency in Microsoft Word, Excel, and Outlook, experience with electronic information applications, and a background in health promotion, coaching, and wellness are essential. Experience working with Medicare & Medicaid recipients, managed care, and tight deadlines in a fast-paced environment is also required. Preferred qualifications include bilingual English/Spanish skills, Case Management Certification (CCM), a Master's degree in a health or social service-related field, and applicable state licensure.

Responsibilities

The Senior Care Coach will telephonically coordinate services and resources to support members' optimal wellness, identifying and resolving barriers to effective care. They will continuously monitor patient care through assessments, data, and conversations, actively participating in care planning. This role involves mentoring and training other Care Coaches, contributing to department strategy and operational efficiency, and assisting with reporting and data analysis. The coach will also provide education and coaching to team members and make decisions on moderately complex to complex technical issues without direction, exercising considerable latitude in assignments.

Skills

Case Management

Care Coordination

Health Coaching

Data Analysis

Mentoring

Problem-Solving

Communication

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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