Impactful Field Care Coordinator – Medicaid & Community Health

Humana; Crestwood (IL); Remote; USD 54,000 - 73,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

401(k) retirement savings plan

Paid time off & holidays

Job summary

Humana is seeking a Care Coordinator to support Illinois Medicaid members within Humana Gold Plus Integrated. You will assess member needs, create personalized care plans, and connect families with resources to thrive.

Reporting to the Manager, Care Management, you will help members navigate their healthcare journeys and improve health outcomes. The role involves travel to member sites (75-90%), remote field work, and collaboration with interdisciplinary teams.

Qualifications

• Bachelor's degree in social sciences, social work, human services, or a related field.
• Unrestricted Licensed Practical Nurse (LPN) in Illinois with one year experience conducting comprehensive assessments.
• Licensed Professional Counselor (LPC).
• Licensed Social Worker (LSW).

Responsibilities

• Visit Medicaid members in homes or facilities, with 75-90% travel.
• Assess care needs to ensure services in least restrictive setting.
• Identify and resolve barriers to care.
• Plan and implement interventions to meet care needs.
• Coordinate services and monitor the care plan against goals.
• Monitor patient progress and adjust care planning as needed.
• Assess enrollee needs via telephonic and in-person evaluations.
• Assist with grievances and appeals submission.
• Provide information on MCO requirements, services, and benefits.
• Refer enrollees to community resources and support.

Skills

Bachelor's degree in social sciences,

Licensed Practical Nurse (LPN) IL

Licensed Professional Counselor (LPC)

Licensed Social Worker (LSW)

Education

Bachelor's degree in relevant field

Tools

Microsoft Word

Excel

Outlook

Electronic Medical Records

Job description

Humana is seeking a Care Coordinator to support Illinois Medicaid members within Humana Gold Plus Integrated. You will assess member needs, create personalized care plans, and connect families with resources to thrive.

Reporting to the Manager, Care Management, you will help members navigate their healthcare journeys and improve health outcomes. The role involves travel to member sites (75-90%), remote field work, and collaboration with interdisciplinary teams.