Integrated Care Coach: High-Risk Patient Navigator

Humana; Houston (TX); On-site; USD 45,000 - 65,000; Full time

Job summary

Humana seeks a Care Coach to provide proactive, patient-centered care coordination and social needs support for the highest risk patients. You will be the primary contact, focusing on care coordination, adherence coaching, healthcare navigation and reinforcing care plans.

You will report to a Care Integration Team Manager within the CenterWell and Conviva Primary Care organization, coordinating care across health and social services and performing structured patient interviews and home visits to

Responsibilities

• Clinical Screening & Escalation: Conduct structured patient interviews and collect health-related information (e.g. medication regimen and barriers to adherence, social barriers, functional status.) Document and share findings with providers.
• Outreach and Home Visits: Perform home visits to observe living conditions, identify safety concerns, and review environmental or social factors impacting engagement.

Job description

Humana seeks a Care Coach to provide proactive, patient-centered care coordination and social needs support for the highest risk patients. You will be the primary contact, focusing on care coordination, adherence coaching, healthcare navigation and reinforcing care plans.

You will report to a Care Integration Team Manager within the CenterWell and Conviva Primary Care organization, coordinating care across health and social services and performing structured patient interviews and home visits to