Care Coordinator

Humana; Decatur (IL); On-site; USD 60,000 - 70,000; Full time

Job summary

A health services provider is seeking a Long-Term Services and Support Care Coordinator (Care Coach 1) in Decatur, Illinois. The role involves assessing member needs, conducting home visits, and coordinating care services, requiring a Bachelor’s degree or LPN license. Candidates with experience in case management and exceptional communication skills are preferred for this field-based position, with a $2,000 hiring bonus available.

Benefits

Hiring bonus of $2,000

Flexible work schedule

Qualifications

• Bachelor’s degree or LPN license with experience in assessments.
• One year of experience in healthcare or case management.
• Experience with Medicare and Medicaid recipients.

Responsibilities

• Visit Medicaid members in various care settings.
• Assess care needs and resolve barriers to effective care.
• Plan and implement interventions to meet care needs.

Skills

Interpersonal skills

Communication skills

Computer skills

Assessment skills

Education

Bachelor’s degree in social sciences or related field

Active LPN license in Illinois

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Become a part of our caring community and help us put health first

Humana Gold Plus Integrated is seeking Long-Term Services and Support (LTSS) Care Coordinators (Care Coach 1) to assess and evaluate members’ needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families towards and facilitate interaction with resources appropriate for the care and wellbeing of members.

Earn a $2,000 hiring bonus! $1,000 is paid after 3 months (90 days) of employment and $1,000 is paid after 1 year (365 days) of employment. You must be employed until those dates to be eligible to receive the payment.

The LTSS Care Coordinator (Care Coach 1) employs a variety of strategies, approaches, and techniques to manage a member's health issues. The LTSS Care Coordinator (Care Coach 1 ) understands own work area professional concepts/standards, regulations, strategies, and operating standards, and makes decisions regarding own work approach/priorities and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.

Key Responsibilities

• Visits Medicaid members in their homes, Assisted Living Facilities (ALFs), and/or Long-Term Care Facilities and other care settings – 75-90% local travel.
• Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
• Identifies and resolves barriers that hinder effective care.
• Plans and implement interventions to meet care needs.
• Coordinates services, monitors, and evaluates the case management plan against the member's personal goals.
• Ensures the member progresses towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning.
• Guides members/families towards resources appropriate for their care. Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member’s care as appropriate and required by our comprehensive contract.

Required Qualifications

The Care Coordinator (Care Coach 1) must meet one of the following requirements:

• Bachelor’s degree in social sciences, social work, human services, or a related field.
• An active, unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with one (1) year of experience in conducting comprehensive assessments and provision of formal services to elderly individuals.

The Care Coordinator (Care Coach 1) must meet all of the following requirements:

• Applicants must reside in Macon County, Illinois or within a 10-mile radius of its border in a neighboring county.
• One (1) or more years of experience in health care and/or case management.
• One (1) or more years of experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services (HCBS), and/or managed care organizations.
• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.
• Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
• Ability to travel in the region to meet face to face with members and/or their families, community partners and care teams.
• This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
• This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance.

Preferred Qualifications

• An active, unrestricted Licensed Professional Counselor (LPC) in Illinois.
• An active, unrestricted Licensed Social Worker (LSW) in Illinois.
• Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance.

Additional Information

• Workstyle: This is a Field position - Employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.
• Travel: 75 - 90% field-based interactions with members and/or their families, community partners and care teams.
• Work Schedule: Monday - Friday; 8:00 AM - 5:00 PM Central Standard Time (CST), with flexibility available.
• Language Assessment Statement: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.