at Humana in Rochelle, Illinois, United States
Job Description
Description
The Field Care Coach Intern performs varied services to evaluate members needs to facilitate appropriate health and wellness measures to support Illinois Medicaid. Work assignments are often straightforward and of moderate complexity.
Seeking DoD SkillBridge, Veteran, and Military Spouses to consider joining Illinois Medicaid Team to support members needs in the State of Illinois.
This position requires member facing visits in the field, and requires residence throughout a variety locations in Illinois based on business need.
Responsibilities
The Field Care Coach intern will utilize Humana’s Illinois Medicaid training and engage former skillsets acquired to develop and engage approaches and techniques to manage a member’s health issues. Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
+ 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.
+ 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 own work area professional concepts/standards, regulations, strategies and operating standards.
+ 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.
+ 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 Below)
Humana is seeking DoD SkillBridge Transitioning Service Member, or Military Spouse with the following Required Qualifications:
Required Qualifications
The Care Coach Coordinator must meet one (1) of the following requirements:
+ Bachelor’s degree in social sciences, social work, human services, or a related field
+ Licensed Professional Counselor (LPC)
+ Licensed Social Worker (LSW)
+ 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 OR
+ In lieu of Bachelor’s degree – a minimum of four (4) years relevant experience within the field which may include any of the following: long-term care hospital, conducting comprehensive assessment of elderly population, healthcare, care management, working with Medicare/Medicaid recipients, and community-based services, working with managed care organizations.
The Care Coach Coordinator must meet all following requirements:
+ 1-year experiences in health care and/or case management.
+ 1-year 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.
+ 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
+ Tuberculosis (TB) Screening ? 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 T
+ Driver’s License, Automobile Insurance Policy: Possession of a valid driver’s license and access to a reliable automobile. 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 Guidance To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ 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 / Adherence
Workstyle: Field Position, Must Reside in Illinois (member facing position)
Location: This position requires member facing visits across multiple business markets in Illinois.
+ Locations will be determined as business need is identified.
Work Schedule : Monday – Friday; 8am – 5pm. Flexible with work schedule based on business needs if needed.
Travel: 75 – 90% travel in the field to visit members (see Additional Information below)
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 correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. 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.
\#L1-Hybrid
Scheduled Weekly Hours
40
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
