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Humana Gold Plus Integrated is seeking Long-Term Services and Support (LTSS) Care Coordinators (Care Coach 1) in the state of Illinois to assess and evaluate members' 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.

The LTSS Care Coordinator (Care Coach 1) employs a variety of strategies, approaches, and techniques to manage a member's health issues. The LTSS Care Coordinator (Care Coach 1) 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.

Key Responsibilities

• Visits Medicaid members in their homes, Assisted Living Facilities (ALFs), and/or Long-Term Care Facilities and other care settings – 75-90% local travel (see Additional Information section).
• Ensure 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.
• Plans and implement interventions to meet care needs.
• Coordinates services, monitors, and evaluates the case management plan against the member's personal goals.
• Ensures the member progresses 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.

Use your skills to make an impact
 

Required Qualifications

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

• Bachelor's degree in social sciences, social work, human services, or a related field.
• An active, unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with one (1) year of experience in conducting comprehensive assessments and provision of formal services to elderly individuals.

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

• Applicants must reside in Cook County, IL, within one of the following ZIP codes, or within a 10-mile radius of these Zip Codes:   60068, 60131, 60171, 60176, 60613, 60614, 60618, 60625, 60626, 60630, 60631, 60633, 60634, 60639, 60640, 60641, 60645, 60646, 60647, 60657, 60659, 60660, 60706, 60707,  60712.
• One (1) or more years of experience in health care and/or case management.
• One (1) or more years of experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services (HCBS), and/or managed care organizations.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.
• Ability to travel in the region to meet face to face with members and/or their families, community partners and care teams.

Preferred Qualifications

• An active, unrestricted Licensed Professional Counselor (LPC) in Illinois.
• An active, unrestricted Licensed Social Worker (LSW) in Illinois.
• Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance. See "Additional Information" section for language assessment information.

Additional Information

• Workstyle: This is a Field position - Employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.
• Travel: 75 - 90% field-based interactions with members and/or their families, community partners and care teams. May need to attend occasional onsite meetings in Humana's Schaumburg, IL office.
• Mileage Reimbursement for Travel: Mileage reimbursement is provided for work-related travel from your home to your first work location of the day, between client or assignment locations during the workday and final work location back to home.
• Work Schedule: Monday - Friday; 8:00 AM - 5:00 PM Central Standard Time (CST), with flexibility available. Additional hours may be required based on business needs.
• Language Assessme