Field Care Coach: Orlando Medicaid Case Manager

Humana Inc; Orlando (FL); On-site; USD 60,000 - 65,000; Full time

Benefits offered by this job

Medical benefits

401(k) retirement plan

Paid time off

Job summary

Humana Inc. in Orlando, FL is seeking a Field Care Coordinator to assess member needs and guide families toward services, visiting Medicaid members at homes, assisted living facilities, and long-term care facilities with 75-90% local travel.

The role involves creating member-specific care plans, ensuring services are provided in the least restrictive setting to promote well-being, and coordinating with providers and interdisciplinary teams to drive health outcomes.

Qualifications

• Bachelor's Degree with at least 2 years of relevant experience (Health Services, Social Work, Psychology).
• Registered Nurse (RN) licensed in Florida with at least 2 years of relevant experience.
• Licensed Practical Nurse (LPN) licensed in Florida with at least 4 years of relevant experience.
• Prior experience with Medicare & Medicaid recipients.
• Minimum 2 years case management experience.
• Bilingual (English/Spanish).

Responsibilities

• Visit Medicaid members in their homes, Assisted Living Facilities, and Long Term Care Facilities and other care settings – 75-90% local travel.
• Assesses and evaluates member's needs and requirements to establish a member specific care plan.
• Ensures members are receiving services in the least restrictive setting in order to achieve and/or maintain optimal well-being.
• Planning and implementing interventions to meet those needs.
• Coordinating services, and monitoring and evaluating the case management plan against the member's personal goals.
• 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.

Skills

Bilingual (English/Spanish)

Education

Bachelor's degree with relevant experience

RN license (FL) with 2+ years experience

LPN license (FL) with 4+ years experience

Job description

Humana Inc. in Orlando, FL is seeking a Field Care Coordinator to assess member needs and guide families toward services, visiting Medicaid members at homes, assisted living facilities, and long-term care facilities with 75-90% local travel.

The role involves creating member-specific care plans, ensuring services are provided in the least restrictive setting to promote well-being, and coordinating with providers and interdisciplinary teams to drive health outcomes.