[Hiring] Telephonic Care Coach @Humana

Role Description

Become a part of our caring community. Discover a rewarding opportunity to make a meaningful difference as a Care Coach with Humana Gold Plus-Integrated in Illinois. In this vital role, you will be at the forefront of supporting members' health and wellness by:

• Conducting comprehensive assessments
• Identifying needs
• Guiding members and their families to essential resources for optimal care

You will report to the Manager, Care Management and join a dedicated team where your expertise helps break down barriers to effective healthcare, empowers individuals to achieve their best outcomes, and strengthens our commitment to delivering compassionate, patient-centered service.

• Employs a variety of strategies, approaches and techniques to manage a member's health issues telephonically.
• Identifies and resolves barriers that hinder effective care.
• Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessments, 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.
• Follows established guidelines/procedures.

Qualifications

• Bachelor's degree in a health-related field, active Illinois LPN licensure, or the ability to obtain IL LPN license.
• 2 or more years of case management, medical case management, care coordination, or healthcare support experience.
• Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook.
• Previous experience with electronic case note documentation and experienced with documenting in multiple computer applications/systems.
• Experience with health promotion, coaching and wellness.
• Knowledge of community health and social service agencies and additional community resources.

Requirements

• Bi-Lingual (English/Spanish)
• Certified Case Manager (CCM)
• Master's Degree
• Managed care experience
• Prior experience with Medicare & Medicaid recipients

Benefits

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

Additional Information

• Workstyle: remote, work from home.
• Typical Work days/hours: Monday - Friday 8:00 AM - 7:00 PM CST; core hours are primarily Monday – Friday, 8:00 AM – 5:00 PM CST.
• Work at Home Requirements: Minimum download speed of 25 Mbps and upload speed of 10 Mbps required; dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• Travel: Occasional travel to Humana's offices for training or meetings may be required.
• Florida Background Screening Requirements: Subject to Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse.
• Scheduled Weekly Hours: 40
• Pay Range: $53,700 - $72,600 per year