Medicaid Care Coordinator — Field-Based, Impactful Home Visits

Humana Inc; Mount Vernon (IL); Remote; USD 54,000 - 73,000; Full time

Job summary

Humana Inc. in Illinois seeks a Care Coordinator for the Illinois HealthChoice Medicaid Managed Care program. You will assess member needs, develop care plans, and connect families with resources to improve health and well-being.

The role involves visiting members in homes or facilities (75-90% travel), coordinating services, and monitoring outcomes to ensure quality care. A relevant degree or license is required, and residency in Illinois is expected.

Qualifications

• Bachelor's degree in social sciences, social work, human services, or related field.
• Unrestricted LPN in Illinois with one year experience conducting assessments and providing services for the elderly.
• Licensed Professional Counselor (LPC).
• Licensed Social Worker (LSW).

Responsibilities

• Visit Medicaid members in homes or facilities; 75-90% local travel.
• Assess needs and develop personalized care plans.
• Identify and resolve barriers to care.
• Plan and implement interventions to meet needs.
• Coordinate services and monitor case plans against goals.
• Monitor progress toward outcomes with assessments and conversations.
• Assess enrollee needs via phone and in-person evaluations.
• Assist with gaps in care and access.
• Assist with grievances and appeals.
• Provide information on MCO requirements, services, and benefits.
• Refer to community resources; guide families to appropriate care resources.

Skills

Communication

Interpersonal skills

Microsoft Word

Excel

Outlook

EMR systems

Education

Bachelor's degree in social sciences, social work, human services, or related field

Unrestricted LPN in Illinois with 1 year experience

Licensed Professional Counselor (LPC)

Licensed Social Worker (LSW)

Tools

Microsoft Word

Excel

Outlook

Electronic medical records

Job description

Humana Inc. in Illinois seeks a Care Coordinator for the Illinois HealthChoice Medicaid Managed Care program. You will assess member needs, develop care plans, and connect families with resources to improve health and well-being.

The role involves visiting members in homes or facilities (75-90% travel), coordinating services, and monitoring outcomes to ensure quality care. A relevant degree or license is required, and residency in Illinois is expected.