Transition Coordinator (Care Coach 1)

Employment Type: Full-time Location Type: Telephonic/Work at home Hours: Monday through Friday, 8:00 AM to 5:00 PM CST (Overtime may be requested)

Position Overview

Become a part of our caring community and help us put health first. The Transition Coordinator (Care Coach 1) assesses and evaluates member's needs and requirements to achieve and/or maintain an optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and well-being of members.

Responsibilities

• Focuses on triaging cases telephonically throughout the state.
• Facilitates, promotes, and advocates for the enrollees’ ongoing self-sufficiency and independence.
• Oversees member transition and discharge planning activities for members between healthcare settings and/or new to the plan.
• Actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team, facilities, and enrollees and/or the enrollees' representatives.
• Employs a variety of strategies, approaches, and techniques to manage a member's health issues.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
• Use your skills to make an impact.

Requirements

The Transition Coordinator must meet one (1) of the following educational/licensure requirements:

• Bachelor’s Degree: In social sciences, social work, human services, or a related field, with two (2) years of hospital and/or Medicare/Medicaid Program experience. OR
• Licensed Practical Nurse (LPN): Unrestricted LPN license in the state of Louisiana, with one (1) year of experience working with social sciences, social work, human services, or a related field.

The Transition Coordinator must also meet all of the following requirements:

• Minimum two (2) years’ experience with care management, discharge planning, and/or patient education.
• Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
• Ability to use a variety of electronic information applications/software programs, including electronic medical records.
• Exceptional communication and interpersonal skills with the ability to quickly build rapport.
• Ability to work with minimal supervision within the role and scope.
• Must reside and conduct work in the state of Louisiana.

Preferred Qualifications

• Health Plan experience.
• Fluent in Spanish, French Creole, or Vietnamese.
• Experience working with Medicare, Medicaid, and dual-eligible populations.
• Experience with health promotion, coaching, and wellness.
• Knowledge of community health and social service agencies and additional community resources.

Work-At-Home Requirements

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service must meet the following criteria:

• Minimum download speed of 25 Mbps and an upload speed of 10 Mbps.
• Wireless, wired cable, or DSL connection is required.
• Satellite, cellular, and microwave connections can be used only if approved by leadership.
• Employees who live and work from Home in California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide appropriate telephone equipment for the position.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Additional Information

Louisiana Code of Governmental Ethics (Section 1121): Current or former agency heads, elected officials, board or commission members, or public employees of the Louisiana Health Department (LDH) who work directly with LDH’s Medicaid Division cannot be considered for this opportunity. A separation of two (2) or more years from LDH is required for consideration. For more information, please visit: Louisiana Board of Ethics (la.gov).

Application Instructions

(No specific application instructions were provided in the original text.)