Humana Looking For LTSS Care Coach Coordinator 2 – Field Role – Northern Cook County at Chicago, IL Full Time

The Care Coach Coordinator 2 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 Care Coach 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Care Coach Coordinator 2 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. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

The Care Coach Coordinator 2 assesses and evaluates member’s needs and requirements in order to establish a member specific care plan and coordinates services.

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

Plan and implement interventions to meet care needs.

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

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.

Territories we will be covering is Northern Cook County

Required Qualifications

The Care Coach 2 must meet one (1) of the following requirements:

Registered Nurse (RN) licensed in the State of Illinois without restrictions OR

Master Degree Social Worker or related field with license in the State of IL without restrictions

The Care Coach 2 must meet all of the following requirements:
2 years of experience working in in-home case management/care management/nursing facility/supportive living facility or equivalent clinical experiences.

Intermediate to advanced computer skills and experience with Microsoft Word, Excel and Outlook.

Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.

Proven ability of critical thinking, organization, written and verbal communication and problem solving skills.

Ability to manage multiple or competing priorities in a fast-paced environment.

Ability to use a variety of electronic information applications/software programs including electronic medical records

Preferred Qualifications

Certified Case Manager (CCM).

Prior experience with Medicare & Medicaid recipients and/or long term care and/or Home and Community based services and/or working with managed care organizations.

Experience with health promotion, coaching and wellness.

Knowledge of community health and social service agencies and additional community resources.

Screening Requirements

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.

For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve. If progressed to offer, you will be required to:

• Provide proof of full vaccination or commit to testing protocols OR
• Provide proof of applicable exemption including any required supporting documentation
• Medical, religious, state and remote-only work exemptions are available.

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

WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

A minimum standard speed for optimal performance of 25×10 (25mpbs download x 10mpbs upload) is required.

Satellite and Wireless Internet service is NOT allowed for this role.

A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Additional Information

Travel: 75 – 90% travel in the field to visit members in the following Counties in Illinois: Field Role – Northern Cook County(see Additional information below)

Work Schedule: Monday – Friday; 8am – 5pm. Flexible with work schedule if needed.

Onsite Travel

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 25m x 10m, and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process.

#ThriveTogether #WorkAtHome

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive an email correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. (please be sure to check your spam or junk folders often to ensure communication isn’t missed) If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Be sure to check Junk/Spam folder to ensure you do not miss this email

Scheduled Weekly Hours

40