Senior Care Navigator & Home-Visit Coach

Humana Inc; Louisville (KY); Hybrid; USD 54,000 - 73,000; Full time

Benefits offered by this job

Health benefits

Paid time off

401(k)

Tuition assistance

Scholarships for dependents

Parental and caregiver leave

Employee charity matching

Career development opportunities

Job summary

Humana Inc. is seeking a Care Coach for CenterWell Senior Primary Care in Louisville, KY.

This role focuses on proactive care coordination, adherence coaching, and social needs support for the highest risk patients, with responsibilities spanning clinical screening, home visits, and care transitions. The Care Coach serves as a patient advocate within a multidisciplinary team, coordinating with primary care, specialists, pharmacies, and community providers to close care gaps and reinforce care

Qualifications

• Healthcare professional with 3+ years of Ambulatory, Primary Care, or Senior‑Care experience with direct patient care
• Ability to discuss chronic conditions and reinforce medication instructions
• Comfortability to regularly conduct home visits and community-based outreach
• Demonstrated experience in patient education, care coordination, and social support of high-risk or geriatric populations

Responsibilities

• Coordinate care across health and social service systems as patient advocate and clinical support
• Conduct structured patient interviews and collect health-related information, document and share findings with providers
• Perform home visits to observe living conditions and safety concerns
• Identify barriers to care and connect patients with community resources
• Deliver culturally appropriate chronic disease education reinforcing provider and pharmacist recommendations
• Serve as liaison between patients, primary care, specialists, pharmacies, home health, and community providers
• Support care transitions, coordinate follow-up, and close care gaps
• Prepare and discuss patients during High‑Risk Rounds
• Follow up post-hospitalization and post-ED visits to ensure safe transitions
• Encourage engagement with community programs and address social determinants of health

Skills

Healthcare professional experience

Discuss chronic conditions

Home visits

Patient education

Job description

Humana Inc. is seeking a Care Coach for CenterWell Senior Primary Care in Louisville, KY.

This role focuses on proactive care coordination, adherence coaching, and social needs support for the highest risk patients, with responsibilities spanning clinical screening, home visits, and care transitions. The Care Coach serves as a patient advocate within a multidisciplinary team, coordinating with primary care, specialists, pharmacies, and community providers to close care gaps and reinforce care