Care Coach: Remote Medicaid/Medicare Case Manager

Humana; Lorida (FL); Remote; USD 62,000 - 66,000; Full time

Job summary

Humana is seeking a Care Coach I to assess member needs, create person-centered care plans, and connect members with community resources. The role focuses on in-home or facility visits with substantial local travel and requires strong coordination with clinicians and providers to promote optimal well-being.

Qualified candidates will have a healthcare background and Florida licensure as RN/LPN or related case-management experience with Medicare/Medicaid exposure, and must reside in Lake County,

Qualifications

• Care Coaches shall meet one of the following qualifications.
• Prior experience with Medicare & Medicaid recipients.
• MUST live in Lake county, Florida
• Intermediate to advanced computer skills with Microsoft Word, Excel and Outlook
• AHCA Fingerprint Required.
• TB screening program participation if selected
• Valid state driver’s license and personal vehicle liability insurance

Responsibilities

• Visit Medicaid members in homes or care facilities (75-90% local travel).
• Assess and evaluate member needs to establish a care plan.
• Ensure services in least restrictive setting to maintain well-being.
• Plan and implement interventions to meet needs.
• Coordinate services and monitor the care plan against goals.
• Guide members/families toward appropriate resources.

Education

Bachelor's Degree with at least 2 years of relevant experience

Registered Nurse (RN) licensed in FL with at least 2 years of relevant experience

Licensed Practical Nurse (LPN) licensed in FL with at least 4 years of relevant experience

Case Worker with a minimum of 6 years of Health Services/Case Management Experience

Tools

Microsoft Word

Excel

Outlook

Job description

Humana is seeking a Care Coach I to assess member needs, create person-centered care plans, and connect members with community resources. The role focuses on in-home or facility visits with substantial local travel and requires strong coordination with clinicians and providers to promote optimal well-being.

Qualified candidates will have a healthcare background and Florida licensure as RN/LPN or related case-management experience with Medicare/Medicaid exposure, and must reside in Lake County,