at Humana in Springfield, Illinois, United States
Job Description
Become a part of our caring community and help us put health first
The Care Coach 1 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 1 work assignments are often straightforward and of moderate complexity.
The Care Coach 1 will work with an assigned member population over the phone performing health assessments, care planning, and education on chronic conditions and any gaps in their health care plans.
This position 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 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.
Use your skills to make an impact
Required Qualifications
+ Bachelor’s degree in health related field or LPN licensure (with the ability to obtain licensure in IL)
+ Must reside in Illinois
+ 2 years experience in medical case management or care coordination (health promotion, coaching and wellness) in a hospital, outpatient facility, telephonic managed care, etc.. to include knowledge of community health and social service agencies and additional community resources.
+ Proficient with Microsoft Office, Word and Excel and ability to use a variety of electronic information applications/software programs
+ Exceptional verbal/written communication and interpersonal skills
+ Must be bilingual in Spanish and English. Resume must be submitted in English.
+ Oral and written fluency in Spanish and English – ability to pass a language test will be required
+ Must be able to work 10:00am-6:30pm Central Standard Time, with the ability to be flexible to meet member and team needs
Preferred Qualifications
+ Certified Case Manager (CCM)
+ Master’s Degree
+ Managed care experience
+ Prior experience with Medicare & Medicaid recipients
+ Previous experience with electronic case note documentation and experienced with documenting in multiple computer applications/systems
Work-At-Home Requirements
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- How we value you:
+ Work-Life Balance
+ Generous PTO package
+ Health benefits effective day 1
+ 401K – Immediate company match
+ Well-being program
+ Paid Volunteer Time Off
+ Student Loan Refinancing
Scheduled Weekly Hours
40
About us
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.
Equal Opportunity Employer
It is the policy of ?Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of ?Humana?to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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.
