Care Coach 1

Profile

Job Information

Humana

Care Coach 1

in

Newport

Rhode Island

Description

The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain an optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members. The Care Coach 1 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Telephonic Care Coach Professional 1 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social 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. Must be able to navigate multiple systems and use critical thinking skills.

Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

The working hours for this position are between 8:00am-7:00pm central standard time; but core hours are primarily 8:00am-5:00pm central standard time.

This position 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.

Required Qualifications

Bachelor's degree in a Health related Field

or

a Licensed Practical Nurse (LPN) with no disciplinary action and ability to apply for Illinois license'

2 years or more experience in medical case management or care coordination

Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook

Previous experience 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

Preferred Qualifications

Bi-Lingual (English/Spanish) 

Certified Case Manager (CCM)

Master's Degree

Managed care experience

Prior experience with Medicare & Medicaid recipients

Working in the state of Arizona must comply with the Tobacco Free Hiring Policy and upon offer will be subjected to nicotine testing as part of a 10-panel drug test

Additional Information

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you will receive a text with interview questions and you will provide responses to each question. Your interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com