High-Risk Care Coordinator & Home Visit Specialist

humana; Daytona Beach (FL); On-site; USD 42,000 - 62,000; Full time

Job summary

Humana Care Coach role involves proactive, patient-centered care coordination for the highest risk top 5% membership. You will serve as the primary contact for patients, coordinating care across providers, and reinforcing care plans with adherence coaching and health navigation.

The position requires regular home visits, community outreach, and collaboration with a multidisciplinary team. Travel to patients’ homes and clinics is expected, with hours Monday–Friday and a location-based designation.

Qualifications

• Healthcare professional with 3+ years of ambulatory, primary care, or senior-care patient contact.
• Bilingual in English and Spanish with reading/writing/speaking ability in both languages.
• Ability to discuss chronic conditions and reinforce medication instructions.
• Comfort with regular home visits and community outreach.
• Experience in patient education, care coordination, and social support for high-risk or geriatric populations.

Responsibilities

• Conduct structured patient interviews and collect health information, documenting findings for providers.
• Perform home visits to assess living conditions and social factors impacting engagement.
• Identify barriers to care and connect patients with community resources.
• Deliver culturally appropriate chronic disease education using approved materials.
• Serve as liaison between patients, primary care, specialists, pharmacies, home health, and community providers; support care transitions and follow-ups.
• Conduct timely follow-up after hospitalizations and ED visits to support safe transitions.
• Encourage patient connection to community programs and provide culturally sensitive care.
• Develop understanding of patient needs via 5Ms framework and identify barriers to health outcomes.
• Prepare and participate in High-Risk Rounds with the care team.

Skills

Ambulatory care

Bilingual English/Spanish

Chronic disease education

Home visits

Care coordination

Education

LPN/LVN license or MA certification

RN license (preferred)

Job description

Humana Care Coach role involves proactive, patient-centered care coordination for the highest risk top 5% membership. You will serve as the primary contact for patients, coordinating care across providers, and reinforcing care plans with adherence coaching and health navigation.

The position requires regular home visits, community outreach, and collaboration with a multidisciplinary team. Travel to patients’ homes and clinics is expected, with hours Monday–Friday and a location-based designation.