Telephonic Care Coach

Humana; United States; Remote; USD 54,000 - 73,000; Full time

Benefits offered by this job

Remote work

Travel for training

Job summary

Humana is seeking a Care Coach for Humana Gold Plus-Integrated in Illinois to support members’ health and wellness by conducting comprehensive assessments, identifying needs, and guiding members and families to resources for optimal care. You will report to the Manager, Care Management and join a dedicated team focused on compassionate, patient-centered service.

Responsibilities include telephonic care management, removing barriers to care, and monitoring progress toward outcomes.

Qualifications

• Bachelor's degree in a health-related field is required.
• 2+ years of case management or healthcare support experience.
• Proficiency with MS Office (Word, Excel, Outlook).

Responsibilities

• Conduct telephonic care management and assessments to identify member needs.
• Identify and resolve barriers to effective care.
• Monitor progress toward outcomes with ongoing care planning and data reviews.
• Adhere to guidelines, procedures, and regulatory standards.

Skills

Case management

Healthcare support

Microsoft Office

Education

Bachelor's degree in a health-related field

IL LPN licensure or ability to obtain IL LPN

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Become a part of our caring community

Discover a rewarding opportunity to make a meaningful difference as a Care Coach with Humana Gold Plus-Integrated in Illinois. In this vital role, you will be at the forefront of supporting members' health and wellness by conducting comprehensive assessments, identifying needs, and guiding members and their families to essential resources for optimal care. You will report to the Manager, Care Management and join a dedicated team where your expertise helps break down barriers to effective healthcare, empowers individuals to achieve their best outcomes, and strengthens our commitment to delivering compassionate, patient-centered service. Take the next step in your healthcare career and help shape positive change in the lives of those we serve.

Employs a variety of strategies, approaches and techniques to manage a member's health issues telephonically.

Identifies and resolves barriers that hinder effective care.

Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessments, data, conversations with member, and active care planning.

Understands own work area professional concepts/standards, regulations, strategies and operating standards.

Makes decisions regarding own work approach/priorities and follows direction.

Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.

Follows established guidelines/procedures.

Use your skills to make an impact

Required Qualifications

• Bachelor's degree in a health-related field, active Illinois LPN licensure, or the ability to obtain IL LPN license.
• 2 or more years of case management, medical case management, care coordination, or healthcare support experience.
• Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook.

Preferred Qualifications

• Illinois residence
• Bilingual (English/Spanish)
• Certified Case Manager (CCM)
• Master's Degree
• Managed care experience
• Prior experience with Medicare & Medicaid recipients
• Previous experience with electronic case note documentation and experienced with documenting in multiple computer applications/systems
• Experience with health promotion, coaching and wellness
• Knowledge of community health and social service agencies and additional community resources

Additional Information

Workstyle: remote, work from home.

Typical Work days/hours: Operating hours are Monday - Friday 8:00 AM - 7:00 PM CST but core hours for this position are primarily Monday - Friday, 8:00 AM - 5:00 PM CST. May need to be flexible with work schedule based on business needs.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel

While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$53,700 - $72,600 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offe