Medicaid Field Care Coordinator: Help Members Thrive

Humana; LaSalle (IL); On-site; USD 54,000 - 73,000; Full time

Job summary

Humana is seeking a Care Coordinator to support Illinois HealthChoice Medicaid Managed Care members. You will assess needs, develop care plans, and link families to resources while coordinating with an interdisciplinary team. This is primarily field-based with substantial local travel and remote work options.

You will report to the Manager, Care Management and ensure services align with member goals, with a focus on improving health outcomes and access to care for Medicaid enrollees.

Qualifications

• Bachelor's degree in social sciences, social work, human services, or related field.
• Unrestricted LPN license in Illinois with 1 year of assessment experience.
• Licensed Professional Counselor (LPC).
• Licensed Social Worker (LSW).

Responsibilities

• Visit Medicaid members in homes, facilities, and other care settings with 75–90% travel.
• Assess care needs and ensure services in least restrictive settings.
• Identify and resolve barriers to effective care.
• Plan and implement interventions to meet care needs.
• Coordinate services and monitor the case management plan.
• Monitor patient progress toward outcomes and adjust plans.
• Assess enrollee needs via telephonic and in-person assessments.
• Assist with remediating gaps in care and access.
• Assist with filing grievances and appeals.
• Provide information on MCO requirements, services, and benefits.
• Refer enrollees to community resources and guide families to appropriate services.

Skills

Communication skills

Empathy

Care coordination

Education

Bachelor's degree in social sciences/social work/human services

LPN Illinois

Licensed Professional Counselor (LPC)

Licensed Social Worker (LSW)

Tools

Microsoft Word

Excel

Outlook

Electronic medical records (EMR)

Job description

Humana is seeking a Care Coordinator to support Illinois HealthChoice Medicaid Managed Care members. You will assess needs, develop care plans, and link families to resources while coordinating with an interdisciplinary team. This is primarily field-based with substantial local travel and remote work options.

You will report to the Manager, Care Management and ensure services align with member goals, with a focus on improving health outcomes and access to care for Medicaid enrollees.