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Manager, Care Coordinators Region 1- Escambia, Santa Rosa, Okaloosa and Walton County, Florida

Humana
United Statesfull_timeVerifiedPosted 19 Feb 2024

About the role

Become a part of our caring community and help us put health first
 

The Manager, Care Coaching assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Manager, Care Coaching works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals.

               

The Manager, Care Coaching employs a variety of strategies, approaches and techniques to manage a member's health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department.


Use your skills to make an impact
 

Required Qualifications

  • Bachelor's Degree in a health related field
  • 2 or more years of managed care experience in Medicare and/or Medicaid.
  • 1 or more years of management/leadership experience.
  • Proficiency in analyzing and interpreting trends
  • Comprehensive knowledge of Microsoft Word, Excel and Access
  • Progressive experience in the health solutions industry, with emphasis with leading and managing teams
  • This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
  • This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.

Preferred Qualifications

  • Master's Degree in human services, social sciences, or health related field.
  • Applicable State licensure in field of study
  • RN or LPN with current State Licensure
  • Proficiency in analyzing and interpreting financial trends
  • Previous experience in utilization management, discharge planning and/or home health or rehabilitation
  • Located in one of the following counties: Escambia, Santa Rosa, Okaloosa and Walton County
  • Experience with health promotion, coaching and wellness
  • Health Plan experience
  • Previous Medicare/Medicaid Experience

Scheduled Weekly Hours

40


About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.


Equal Opportunity Employer

It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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Company

Humana

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