Care Coach District 13
HumanaAbout the role
Become a part of our caring community and help us put health first
The Care Coach 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 Care Coach 1 work assignments are often straightforward and of moderate complexity.The Service Coordinator (Care Coach 1) 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 Service Coordinator work assignments are often straightforward and of moderate complexity.
The Service Coordinator (Care Coach 1) role involves meeting members in their location, spending quality time assessing their needs and barriers and then connecting our members with quality services to promote their ultimate well-being and drive health outcomes. Responsibilities include:
- Administer initial and ongoing long-term services and support (LTSS) related assessments through person-centered thinking approaches
- Contacts members both telephonically and/or in-person to establish goals and priorities, evaluate resources, develop plan of care and identify LTSS providers and community partnerships to provide a combination of services and supports that best meet the needs and goals of member and caregiver through person centered thinking approaches.
- Development and continuous modification of Service Plan and involve applicable members of the care team in care planning (Informal caregiver coach, PCP, etc.)
- Support members through navigation of their LTSS and related environmental and social needs Utilize available information pertaining to member to prevent the need for administration of duplicative assessments.
- Focuses on supporting members and/or caregivers in accessing long term services and support, social, housing, educational and other services, regardless of funding sources to meet their needs.
- Build trust and promote independence through a collaborative relationship with the Care Coordinator, member and caregiver.
- Identify transition opportunities and work closely with transition coordinators to support member choice.
- Coordinating with Care Coordinator on referrals for non-capitated services and capturing all services the member is receiving (regardless of payer), including their natural supports.
- Coordinating and consulting with Humana-contracted providers regarding delivery of LTSS services
- Participates in interdisciplinary Care team meetings (ICT)
- Connecting and referring members to community resources and third-party payers
- Assisting members in maintaining Medicaid eligibility
- Collaborate with Medical Director/Geriatrician/Care Coordinator as deemed necessary to ensure cohesive, holistic service delivery and support positive member outcomes.
Use your skills to make an impact
Required Qualifications
- Bachelor's degree in health and human services field
- 2 or more years of related experience
- Knowledge of Microsoft Office Word and Excel
- Exceptional verbal/written communication and interpersonal skills
- Ability to use a variety of electronic information applications/software programs
- 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.
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
- 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
- For this position you must physically in one of the following counties in Indiana: Green, Knox, Pike, Dubois, Daviess counties.
Preferred Qualifications
- 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
Work from Home Statement
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 s
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