Telephonic Senior 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 a Senior Care Coach and make a meaningful impact every day! In this dynamic role, you’ll play a key part in empowering members and their families to achieve their best health and wellbeing by expertly guiding them to essential care resources. You’ll tackle challenging and rewarding cases, utilizing your advanced skills to analyze complex situations and develop tailored solutions that drive real results. As a Senior Care Coach, you will be at the forefront of care innovation—mentoring colleagues, influencing department strategy, and helping shape the future of member wellness at Humana. If you’re passionate about transforming lives and thrive in an environment where your expertise makes a difference, we invite you to bring your talents to our dedicated team.

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 member 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.
• Contributes to development in department strategy and operational efficiency initiatives.
• Assists with reporting and data analysis and provides education and coaching to team members.
• Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction.
• Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications

• Education: Bachelor’s degree in a health or social service-related field OR LPN licensure in Illinois.
• Experience:
  • 5 or more years of case management experience.
  • Experience utilizing Microsoft Word, Excel and Outlook.
  • Experience with electronic information applications/software programs.
  • Experience working with tight deadlines in a fast-paced environment.
  • Experience with health promotion, coaching and wellness.
  • 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.

Additional Information

• 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 required.
  • Wireless, wired cable or DSL connection suggested.
  • Satellite, cellular and microwave connection may be used only if approved by leadership.
  • Employees in California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Equipment: Humana will provide telephone equipment.
• Work Environment: Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• Interview Process: As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue.