Care Management Care Coordinator Bilingual - CenterWell - Houston TX

Profile

Description

CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, Missouri, Nevada, North Carolina, South Carolina and Texas. CenterWell Senior Primary Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience. CenterWell Senior Primary Care has experience in both the treatment and management of most chronic and acute-care conditions. The practices also provide health education and value-added, well-being services at the centers and around their neighborhoods to help both patients and community members improve their health.

At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.

Responsibilities

Care Management Care Coordinator - Remote - Houston Opportunity

Humana's Care Delivery Organization, CenterWell Senior Primary Care, is seeking a Care Coordinator who contributes to administration of care management. This role is a key resource and member of the Ancillary Care team. The Care Coordinator provides individualized assistance to patients and is often the first point of contact before engaging with other Ancillary Care team members. The main responsibilities of the role are:

Review and triage internal referrals for appropriate Ancillary Care team resources and care management program placement

Completes intake assessment to identify appropriate resource or program placement

Follows assigned patients to ensure progressing towards desired outcomes and engages the PCP and/or Ancillary Care team members as appropriate

Manage short term and low acuity care management program caseload of patients which include coordination of care, patient education, identification of barriers, and coordinate with other team members as identified

Assist RN Care Coaches with task management and support patient care plan goals

Review care management program tasks and care alerts for the Ancillary Care team and create necessary tasks and/or addresses

Identify and address patient barriers to care by utilizing local, state or federal resources and/or referral for Ancillary Care team support

Provides care coordination for identified critical resources and helps navigate and educate on health plan benefits and/or resources

Provides general health/disease education information and/or supports educational classes related to self-management skills

Facilitate and schedule patient appointments with other care team members and PCP as appropriate

Provide support and/or participate in practice level ITMs and huddles with various levels of team members and leaders to improve patient outcomes

Required Qualifications

MA, LPN, Associate or Bachelor's degree in relevant field or equivalent work experience

Bilingual, Fluent in English/Spanish without any assistance

Clinical related or healthcare related field

Ability to multi-task and work in a fast paced environment with changing priorities

Effectively meet and exceed customer needs; build productive relationships with physicians, internal customers, and takes responsibility for customer loyalty and satisfaction

Work effectively and cooperatively with other members of the CDO Team; establishing and maintaining good working relationships

Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas

Follows established guidelines and procedures

Demonstrate interpersonal/verbal communication skills

Preferred Qualifications

Excellent time management skills

Proficiency with EHRs, or other health care related software platforms

High degree of independence, flexibility, initiative and commitment

Additional Information:

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 read a set of interview questions over your mobile device or computer and you will type your responses to each question. You should anticipate this interview to take about 10 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.

Scheduled Weekly Hours

40

Company info

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