Care Coach II - Field-Based Care & Resource Navigator

Humana; South Carolina; Remote; USD 59,000 - 81,000; Full time

Job summary

Humana is seeking a Care Coach 2 for South Carolina, a remote field-based role with 40 hours per week and substantial travel to member homes and facilities. You will assess, plan, coordinate, and monitor care for Medicaid members, guiding families to resources and collaborating with care teams.

The role requires a health and human services degree, 2+ years in care coordination, and travel readiness. TB screening is part of the program.

Qualifications

• Bachelor's degree in a health and human services field.
• Two or more years of relevant experience in care coordination or case management.
• Proficiency with Microsoft Word, Excel, and Outlook.
• Strong verbal and written communication, organization, and problem-solving skills.
• Ability to travel to meet with members in homes and facilities.

Responsibilities

• Conduct telephonic and face-to-face assessments to evaluate each member's health, functional, environmental, psychosocial, and support needs.
• Develop and maintain individualized, member-centered care plans that reflect identified needs, personal goals, preferences, and the least restrictive appropriate care setting.
• Plan and implement interventions, coordinate services, and monitor progress using assessment findings, available data, member conversations, and active care planning.
• Identify and resolve barriers that may hinder effective care, engagement, transitions, or achievement of desired outcomes.
• Guide members and families to appropriate clinical, community, social, and payer resources, and facilitate collaboration with providers, interdisciplinary teams, and others involved in the member's care.
• Support safe and effective transitions across care settings and provide additional transition support when business needs require.
• Visit members in their homes, assisted living facilities, long-term care facilities, and other care or community settings throughout the assigned South Carolina service area.
• Document assessments, care plans, interventions, member interactions, referrals, and outcomes accurately and timely in required systems.
• Apply independent judgment in occasionally ambiguous situations, adapt work methods and assignments to changing business needs, and follow established guidelines and procedures.

Skills

Care coordination

Communication

Problem-solving

Organization

Independent work

Travel readiness

Education

Bachelor's degree in health and human services

Tools

Microsoft Word

Microsoft Excel

Outlook

Job description

Humana is seeking a Care Coach 2 for South Carolina, a remote field-based role with 40 hours per week and substantial travel to member homes and facilities. You will assess, plan, coordinate, and monitor care for Medicaid members, guiding families to resources and collaborating with care teams.

The role requires a health and human services degree, 2+ years in care coordination, and travel readiness. TB screening is part of the program.