Remote Care Transition Navigator

004 Humana Insurance Company; United States; Remote; USD 59,000 - 81,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) retirement savings plan

Paid time off

Job summary

Humana Insurance Company is seeking a Transition Coordinator (Care Coach 2) to evaluate member needs and guide families toward appropriate resources for optimal wellness. The role involves coordinating with Medicaid programs, care settings, and provider communications to ensure smooth transitions and ongoing care.

The position is patient-facing, with TB screening requirements, a state driver's license, and a home-based office; travel to Indiana counties (Cass, Fulton, Howard, Miami, Tipton, or

Qualifications

• Bachelor’s degree in health and human services field.
• 2+ years of relevant experience.
• Intermediate to advanced proficiency with Word, Excel and Outlook.
• Detail oriented and comfortable working with tight deadlines in a fast paced environment.
• Strong verbal and written communication skills.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Responsibilities

• Supports and oversees the initial and ongoing member transitions in and out of the various Indiana Medicaid programs, the Contractor’s enrollment, and among care settings.
• Assists with the planning and preparation for transitions and the follow-up care after transitions are completed.
• Works with the Member Advocate Coordinator and other member-focused departments of the plan to ensure continuity and coordination of care and member and provider communication through the initial transition, ongoing benefit plan, and MCE transfers.
• Ensures the transfer and receipt of all outstanding prior authorization decisions, utilization management data, and clinical information such as prevention and wellness programs(s), care management and complex case management notes.
• Assist with transitions from the custodial setting to the home and community based setting.

Skills

Communication skills

Detail oriented

Time management

Education

Bachelor’s degree in health and human services

Tools

Microsoft Word

Microsoft Excel

Outlook

Job description

Humana Insurance Company is seeking a Transition Coordinator (Care Coach 2) to evaluate member needs and guide families toward appropriate resources for optimal wellness. The role involves coordinating with Medicaid programs, care settings, and provider communications to ensure smooth transitions and ongoing care.

The position is patient-facing, with TB screening requirements, a state driver's license, and a home-based office; travel to Indiana counties (Cass, Fulton, Howard, Miami, Tipton, or