Humana

Care Coordinator, RN (District 3,6)-17

Posted on

December 13, 2024

Job Type

Full-Time

Role Type

Care Management

License

RN

State License

Indiana

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Company Description

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.

Job Description

Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who 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. This position serves members of the new Indiana Medicaid program - Indiana PathWays for Aging (PathWays). The program was designed to help more Hoosiers who choose to age at home, do so, and to achieve better access to services, and better health and quality outcomes. You will be part of a caring community at Humana. When you meet us, you can tell we started as a hometown company. We are proud of our Louisville roots and, as we have grown, that community feeling has spread across all 50 states and Puerto Rico. No matter where you are—whether you are working from home, from the field, from our offices, or from somewhere in between—you will feel welcome here. We are a caring community made of close-knit teams, cross-country friendships, and inclusive resource groups, all gathered around one big table where everyone’s voice is heard and respected. Community is a verb here. It is up to each of us to care for it and maintain it. Because the relationships we form will help us deliver better health outcomes for the people we so proudly serve.

Requirements

Registered Nurse with 2 years of experience of in home case/care management Experience working with the adult population Knowledge of community health and social service agencies and additional community resources Ability to travel to member's residence within 30 to 40 miles Exceptional communication and interpersonal skills with the ability to quickly build rapport Ability to work with minimal supervision within the role and scope Ability to use a variety of electronic information applications/software programs including electronic medical records Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel Excellent keyboard and web navigation skills Ability to work a full-time (40 hours minimum) flexible work schedule This role is a part of Humana's Driver Safety program and therefore requires and individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits. Must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while you work Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana At Home systems if 5Mx1M This role is considered patient facing and is part of Humana At Home's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Valid driver's license, car insurance, and access to an automobile Associates working in the State of Florida will need ACHA Level II Background clearance Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications: BSN 3-5 years of in home assessment and care coordination experience Experience with health promotion, coaching and wellness Previous managed care experience Bilingual — English, Spanish Certification in Case Management Motivational Interviewing Certification and/or knowledge

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Responsibilities

The Care Coordinator 2 employs a variety of strategies, approaches, and techniques to manage a member’s physical, environmental, and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Facilitate the development of a longitudinal and trusting relationship with each member toward improved quality, continuity, and coordination of care. Responsible for the coordination of all the member’s needed medical and non-medical services, including functional, social, and environmental services. Works collaboratively with the Service Coordinator, Transition Coordinator, and other care team staff to address the member’s identified needs Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers as appropriate to coordinate the care and benefits of members who are also eligible for Medicare. Primary point of contact for the Interdisciplinary Care Team (ICT) and shall be responsible for coordinating with the member, ICT participants, and outside resources to ensure the member’s needs are met.

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