Field Care Coordinator – Medicaid (75–90% Travel)

Humana; Oak Lawn (IL); On-site; USD 54,000 - 73,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) plan

Paid time off

Job summary

Humana Inc. seeks a Care Coordinator to support Illinois Medicaid Members within Humana's Medicaid Managed Care programs.

You will assess member needs, develop care plans, and connect families with community resources, traveling to member settings as required. Reporting to the Manager of Care Management, you will guide members toward optimal wellbeing, track progress, and facilitate access to services while ensuring compliance with program requirements and patient-centered outcomes.

Qualifications

• Bachelor's degree in social sciences, social work, human services, or a related field is required.
• An unrestricted LPN license in Illinois with at least 1 year of elderly service experience is required.
• Licenses as LPC or LSW are acceptable qualifications.
• Minimum 1 year of healthcare or case management experience is required.
• Experience with Medicare/Medicaid and/or long-term care and with managed care is preferred.
• Proficient computer skills including MS Word, Excel, and Outlook; experience with EMR systems.

Responsibilities

• Visit Medicaid members in their homes and care settings 75–90% of the time.
• Assess care needs and develop personalized care plans.
• Coordinate services and monitor progress toward member goals.
• Assist with grievances and appeals as needed.
• Provide information on MCO requirements, services, and benefits.

Skills

Case management experience

Home visits

EMR experience

MS Word/Excel/Outlook

Medicare/Medicaid experience

Education

Bachelor's degree in social sciences / related field

LPN license in Illinois

Licensed Professional Counselor (LPC)

Licensed Social Worker (LSW)

Job description

Humana Inc. seeks a Care Coordinator to support Illinois Medicaid Members within Humana's Medicaid Managed Care programs.

You will assess member needs, develop care plans, and connect families with community resources, traveling to member settings as required. Reporting to the Manager of Care Management, you will guide members toward optimal wellbeing, track progress, and facilitate access to services while ensuring compliance with program requirements and patient-centered outcomes.