Care Coordinator

Humana; United States; Hybrid; USD 52,000 - 70,000; Full time

Benefits offered by this job

Mileage reimbursement

Hybrid work arrangement

Job summary

Humana IL FIDE Community Well Care Coordinator in Illinois assesses members' needs and guides families to appropriate healthcare resources. Telephonic HRAs and in-person visits for high-acuity members help address barriers and connect to community services.

This role applies Humana policies to support engagement and improve outcomes. This hybrid position combines home-based and remote work with 50-75% field travel and a typical Mon-Fri 8:00 AM–5:00 PM CST schedule.

Qualifications

• The Care Coordinator (Care Coach 1) must meet one (1) or more of the following requirements.
• One (1) or more years of experience in health care and case management.
• Intermediate to advanced computer skills with Word, Excel, and Outlook.
• Ability to use electronic information applications/software including EMR.
• Ability to travel regionally to meet members and families.
• This role is TB screened as part of Humana's program.
• Must hold a valid state driver's license and maintain personal vehicle insurance.

Responsibilities

• Visits IL FIDE members in their homes for in-person visits.
• Completion of assessments in person and telephonically.
• Identifies and resolves barriers hindering care.
• Plans and implements interventions to meet care needs.
• Coordinates services and monitors the care plan against member goals.
• Ensures progress toward outcomes via ongoing assessment and care planning.

Skills

Case management

Health care

MS Word

MS Excel

Outlook

Travel

TB screening

Driver's license

Education

Bachelor's degree in social sciences, social work, human services, or a health-related field

Active, unrestricted LPN license in Illinois

Tools

Electronic medical records (EMR)

Job description

Become a part of our caring community

Humana IL FIDE Community Well Care Coordinators in the state of Illinois 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.

The Humana IL FIDE Community Well Care Coordinator employs a variety of care coordination strategies and techniques to support members in managing their health and wellness needs. This role conducts telephonic Health Risk Assessments (HRAs) for all members and performs in-person visits with high-acuity members to identify needs, address barriers to care, and connect members with appropriate healthcare and community resources. The Community Well Care Coordinator applies professional standards, regulations, and established procedures to support member engagement and improve health outcomes. Work is performed with guidance from documented policies and procedures, requiring sound judgment in prioritizing daily responsibilities and addressing member needs.

Key Responsibilities

• Visits IL FIDE members in their homes for in person visits.
• Completion of assessments in person and telephonically.
• 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.

Required Qualifications

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

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

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

• One (1) or more years of experience in health care and case management.
• 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.
• Ability to travel in the region to meet face to face with members and/or their families.
• 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. Individuals must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

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. See "Additional Information" section for language assessment information.
• Certified Case Manager (CCM)
• Master's degree in health service related field
• Prior experience with Medicare & Medicaid recipients
• Experience with health promotion, coaching and wellness
• Knowledge of community health and social service agencies and additional community resources

Use your skills to make an impact

Additional Information

• Workstyle: This hybrid position includes both community-based and remote work. Employees provide services in members' homes and completing care coordination assessments telephonically from their home office.
• Travel: 50-75% field-based interactions with members and/or their families.
• Mileage Reimbursement for Travel: Mileage reimbursement is provided for work-related travel from your home to your first work location of the day, between client or assignment locations during the workday and final work location back to home.
• Work Schedule: Monday - Friday; 8:00 AM - 5:00 PM Central Standard Time (CST), with flexibility available. Additional hours may be required based on business needs.
• 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. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the s