Care Coordinator, RN Field Based

Humana; Avon (IN); Hybrid; USD 71,100 - 97,800; Full time

Benefits offered by this job

Health Insurance

23 days vacation

401K matching

Job summary

Humana Healthy Horizons in Indiana seeks a Care Coordinator 2 (Field Care Manager 2) to assess member needs and guide families toward resources that support optimal wellness under Indiana PathWays for Aging. The role emphasizes coordinating medical and social services to improve access and outcomes for Medicaid members.

You will work in a hybrid environment, combining remote work with onsite member visits, travel up to 70% and collaboration with an interdisciplinary team to ensure timely care

Qualifications

• Licensed Registered Nurse (RN) in the state of Indiana without restrictions.
• At least one (2) years of clinical experience as a nurse in providing case management or similar health care services.
• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
• Proven ability of critical thinking, organization, written and verbal communication and problem- solving skills.
• Ability to manage multiple or competing priorities in a fast-paced environment.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.
• Live/Reside in Indiana

Responsibilities

• Facilitate the development of a longitudinal and trusting relationship with each member toward improved quality, continuity, and coordination of care.
• Responsible for the coordination of all the member’s needed medical and non-medical services, including functional, social, and environmental services.
• Works collaboratively with the Service Coordinator, Transition Coordinator, and other care team staff to address the member’s identified needs
• Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers as appropriate to coordinate the care and benefits of members who are also eligible for Medicare.
• Primary point of contact for the Interdisciplinary Care Team (ICT) and shall be responsible for coordinating with the member, ICT participants, and outside resources to ensure the member’s needs are met.

Skills

RN license Indiana

Clinical experience

MS Word Excel Outlook

Communication skills

Critical thinking

Multi-tasking

EMR experience

Indiana resident

Education

Registered Nurse license – Indiana

Tools

Electronic Medical Records (EMR)

Job description

Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. This position serves members of the new Indiana Medicaid program - Indiana PathWays for Aging (PathWays). The program was designed to help more Hoosiers who choose to age at home, do so, and to achieve better access to services, and better health and quality outcomes.

You will be part of a caring community at Humana. When you meet us, you can tell we started as a hometown company. We are proud of our Louisville roots and, as we have grown, that community feeling has spread across all 50 states and Puerto Rico. No matter where you are—whether you are working from home, from the field, from our offices, or from somewhere in between—you will feel welcome here. We are a caring community made of close-knit teams, cross-country friendships, and inclusive resource groups, all gathered around one big table where everyone’s voice is heard and respected. Community is a verb here. It is up to each of us to care for it and maintain it. Because the relationships we form will help us deliver better health outcomes for the people we so proudly serve.

Benefits

• Health Insurance begins on day one!
• 23 days of vacation with pay per year
• 401K program matching 100% of 6% after year one!

Position Responsibilities

The Care Coordinator 2 employs a variety of strategies, approaches, and techniques to manage a member’s physical, environmental, and psycho-social health issues. Identifies and resolves barriers that hinder effective care.

• Facilitate the development of a longitudinal and trusting relationship with each member toward improved quality, continuity, and coordination of care.
• Responsible for the coordination of all the member’s needed medical and non-medical services, including functional, social, and environmental services.
• Works collaboratively with the Service Coordinator, Transition Coordinator, and other care team staff to address the member’s identified needs
• Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers as appropriate to coordinate the care and benefits of members who are also eligible for Medicare.
• Primary point of contact for the Interdisciplinary Care Team (ICT) and shall be responsible for coordinating with the member, ICT participants, and outside resources to ensure the member’s needs are met.

Required Qualifications

• Licensed Registered Nurse (RN) in the state of Indiana without restrictions
• At least one (2) years of clinical experience as a nurse in providing case management or similar health care services
• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
• Proven ability of critical thinking, organization, written and verbal communication and problem- solving skills.
• Ability to manage multiple or competing priorities in a fast-paced environment.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.
• Live/Reside in Indiana

Preferred Qualifications

• Bilingual (English/Spanish) or (English/Burmese)
• Prior nursing home diversion, long-term care, disease management, or case management experience
• Prior management of Home and Community Based Services waivers (HCBS dual roles only)
• Prior experience with Medicare & Medicaid recipients
• Experience working with a geriatric population
• Experience with health promotion, coaching and wellness
• Knowledge of community health and social service agencies and additional community resources

Additional Information

Workstyle

• Combination remote work at home and onsite member visits

Location

• Must reside in Indiana

Hours

• Must be able to work a 40-hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs.

Travel

• Must be willing to commute about 70% to meet with members.

On Call

• Telephonic on call for an occasional night and/or weekend may be required.

Work at Home Guidance

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Driver's License, Transportation, Insurance

• Valid state driver's license
• Proof of personal vehicle liability insurance with at least $100,000/$300,000/$100,000 limits
• Access to a reliable vehicle

Tuberculosis (TB) screening program

• This role is considered patient facing and is part of Humana at Home's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting screening and interviewing technology called Modern Hire to enhance our hiring and decision-making ability. We use this technology to gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. You will be able to respond to the recruiters preferred response method via text, video, or voice technologies. If you are selected for a screen, you may receive an email correspondence inviting you to participate. You should anticipate this screen to take about 15 to 30 minutes. Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews. Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

$71,100 - $97,800 per year

Description Of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

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. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.