Care Coordinator

Humana is a healthcare company committed to putting health first for its customers and teammates. They are seeking a Long-Term Services and Support (LTSS) Care Coordinator to assess and evaluate members’ needs to help them achieve optimal wellness through effective care coordination and resource facilitation.

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

Skills

• 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
• Applicants must reside in Effingham County, IL
• 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
• 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
• Ability to travel in the region to meet face to face with members and/or their families, community partners and care teams
• 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
• This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individuals must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher
• 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

Benefits

• Medical, dental and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance
• Many other opportunities

Company Overview

Company H1B Sponsorship