Community Transition & Custodial Care Navigator

Humana; Aurora (IL); On-site; USD 52,000 - 76,000; Full time

Job summary

Humana in Illinois is seeking a Transition/Custodial Prevention Specialist to work one-on-one with members, create personalized care plans, coordinate services, and empower them to achieve better health outcomes and greater independence.

You will meet members in their homes, at Nursing Facilities, or a location of their choice, assess goals and barriers, and connect them with quality services to promote well-being and person-centered outcomes.

Qualifications

• Bachelor's degree in social sciences, social work, human services, or a related field.
• Two years of experience working with Medicare and Medicaid recipients, long-term care services, HCBS, or managed care organizations.
• One or more years of professional experience working with custodial and transitional care.
• Experience using electronic information applications/software including EMRs.
• Ability to travel regionally to meet members and families.

Responsibilities

• Provide LTSS-focused support with emphasis on health-related social needs (HRSNs) and ensuring LTSS meets service needs.
• Build relationships with facility staff and advocate for member care and access to behavioral health services.
• Meet with members to assess goals, evaluate resources, and develop plans of care with LTSS providers and care teams.
• Assist in planning and modifying Individual Service Plans with care team members.
• Guide members through LTSS navigation and environmental/social needs.
• Identify HCBS options to promote independence in the community.

Skills

Travel ability

EMR experience

Interdisciplinary teamwork

Medicare/Medicaid knowledge

Education

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

Tools

EMR/EHR software

Job description

Humana in Illinois is seeking a Transition/Custodial Prevention Specialist to work one-on-one with members, create personalized care plans, coordinate services, and empower them to achieve better health outcomes and greater independence.

You will meet members in their homes, at Nursing Facilities, or a location of their choice, assess goals and barriers, and connect them with quality services to promote well-being and person-centered outcomes.