Medicaid Care Coordinator – Field & Home-Visit Support

CenterWell Certified Healthcare Corp.

Springfield (IL)

On-site

USD 52,000 - 76,000

Full time

9 days ago
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Job summary

Humana seeks a Care Coordinator to support Illinois Medicaid members in preventing gaps in care by assessing needs, creating personalized plans, and coordinating community resources. The role emphasizes in-home and facility visits, standard telephonic assessments, and active care planning to drive optimal health outcomes.

The position requires IL residency, 1+ year healthcare experience, and qualifications from a degree or professional license as listed.

Qualifications

  • The candidate must reside in Illinois and have 1+ year of healthcare or case management experience.
  • Must meet one of the listed qualifications (degree or license).
  • Experience with Medicare/Medicaid and/or long-term care is preferred.

Responsibilities

  • Visit Medicaid members in homes, assisted living facilities, or long-term care settings.
  • Assess care needs and develop personalized care plans to achieve optimal well-being.
  • Coordinate services, monitor progress, and adjust plans to meet goals.
  • Assist with filing grievances and appeals and provide information on benefits.
  • Connect members with community resources and other payer supports.

Skills

Care coordination
Home visits
Assessment
Telephonic assessments

Education

Bachelor's degree in social sciences / social work / human services
Unrestricted LPN license (Illinois)
Licensed Professional Counselor (LPC)
Licensed Social Worker (LSW)

Job description

Humana seeks a Care Coordinator to support Illinois Medicaid members in preventing gaps in care by assessing needs, creating personalized plans, and coordinating community resources. The role emphasizes in-home and facility visits, standard telephonic assessments, and active care planning to drive optimal health outcomes.

The position requires IL residency, 1+ year healthcare experience, and qualifications from a degree or professional license as listed.

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