Remote Care Coach - Medicare Stars Quality

Humana Inc; Jackson (MS); Remote; USD 54,000 - 73,000; Full time

Job summary

Humana Inc. is seeking a Care Coach to evaluate member needs, coordinate care, and drive interventions across Humana's Medicare Advantage populations.

This remote role involves collaboration with members, caregivers, providers, and internal partners to identify barriers to care and promote adherence to treatment plans. You will conduct proactive telephonic outreach, review data, and document assessments while following program and regulatory requirements.

Qualifications

• Associate degree required; healthcare background preferred.
• Minimum 2 years of direct adult patient care experience.
• Experience collaborating with healthcare teams.
• Proficiency with multiple software applications, including EMR.

Responsibilities

• Conduct proactive telephonic outreach to members using autodialer.
• Identify clinical, financial, functional, and social needs via structured assessments.
• Educate members about preventive care and connect to resources.
• Collaborate with care managers and providers to resolve barriers.
• Document assessments and outcomes accurately in systems.
• Adhere to program, regulatory, and documentation requirements.

Skills

Patient care

Communication skills

EMR proficiency

Collaborative with care teams

Problem-solving

Education

Associate degree in any field

Tools

Electronic Medical Records

Job description

Humana Inc. is seeking a Care Coach to evaluate member needs, coordinate care, and drive interventions across Humana's Medicare Advantage populations.

This remote role involves collaboration with members, caregivers, providers, and internal partners to identify barriers to care and promote adherence to treatment plans. You will conduct proactive telephonic outreach, review data, and document assessments while following program and regulatory requirements.