Field Care Coordinator: Medicaid Initiation & Navigation

Humana; United States; Remote; USD 54,000 - 73,000; Full time

Job summary

Humana is hiring a Care Coordinator to support Illinois Medicaid members on the HealthChoice Medicaid Managed Care program. You will outreach to new enrollees, conduct HRAs, identify needs, and connect members to services. This is a remote field role with 75% travel to visit members and coordinate initial care.

The role requires 1+ years in health care/case management, state IL residency, and strong computer skills (Word, Excel, Outlook). Training and TB screening are part of the process.

Qualifications

• Bachelor’s degree in social sciences, social work, human services, or related field.
• Unrestricted LPN in Illinois with 1 year experience in comprehensive assessments for elderly.
• Licensed Professional Counselor (LPC).
• Licensed Social Worker (LSW).

Responsibilities

• Visit Medicaid enrollees in their homes and various facilities; 75% local travel.
• Assess care needs and ensure services are in least restrictive setting.
• Identify and resolve barriers to care and plan interventions.
• Coordinate services and monitor the care plan against enrollee goals.
• Ensure enrollee progress through ongoing monitoring and active care planning.
• Assist with filing grievances and appeals for enrollees.
• Provide information on MCO requirements, services, and benefits.

Skills

Field-based outreach

Excellent communication

Care coordination

Education

Bachelor’s degree in social sciences or related field

LPN (Illinois) with relevant experience

LPC

LSW

Tools

Microsoft Word

Excel

Outlook

EMR systems

Job description

Humana is hiring a Care Coordinator to support Illinois Medicaid members on the HealthChoice Medicaid Managed Care program. You will outreach to new enrollees, conduct HRAs, identify needs, and connect members to services. This is a remote field role with 75% travel to visit members and coordinate initial care.

The role requires 1+ years in health care/case management, state IL residency, and strong computer skills (Word, Excel, Outlook). Training and TB screening are part of the process.