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

Humana Gold Plus Integrated is seeking Care Coordinators to assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families towards and facilitate interaction with resources appropriate for the care and wellbeing of members.

*** $2000 SIGN-ON BONUS for new associates! $2000 payable following 90 days employment. ***

               

The LTSS Care Coordinator employs a variety of strategies, approaches and techniques to manage a member's health issues.  The Care Coordinator understands own work area professional concepts/standards, regulations, strategies, and operating standards, and 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.

 

The Care Coordinator responsibilities are as follows:

·       Ensures members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.

·       Identifies and resolves barriers that hinder effective care.

·       Plan and implement interventions to meet care needs.

·       Coordinates services, monitors, and evaluates the case management plan against the member's personal goals.

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

·       Guides members/families towards resources appropriate for their care. Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member’s care as appropriate and required by our comprehensive contract.

·       Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long-Term Care Facilities and other care settings – 75-90% local travel (see Additional Information section).

Use your skills to make an impact
 

Required Qualifications

The Care Coordinator must meet one (1) of the following requirements:

• Bachelor’s degree in social sciences, social work, human services, or a related field.
• Unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly.
• Licensed Professional Counselor (LPC).
• Licensed Social Worker (LSW).

The Care Coordinator must meet all following requirements:

• Must reside in Cook County in the State of Illinois with primary residence near Schaumburg, Hanover Park, Rolling Meadows, Arlington Heights, Palatine, Hoffman Estates, or Mount Prospect.
• 1+ years of experience in health care and/or case management.
• 1+ years of experience with Medicare & Medicaid recipients and/or long-term care and/or Home and Community based services and/or working with managed care organizations.
• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.
• Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
• This role is considered patient facing and is a 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.

Work at Home Requirements

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Additional Information

• Workstyle/Travel: This is a Field position that requires 75 - 90% travel in the field to visit members.
• Work Schedule: Monday - Friday; 8am - 5pm CST but open