LTSS Care Coach Coordinator 1 - IL Medicaid - Field Role North Chicago - Evanston Skokie Wilmette Highland Park

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Job Information

Humana

LTSS Care Coach Coordinator 1 - IL Medicaid - Field Role North Chicago - Evanston, Skokie, Wilmette, Highland Park

in

Chicago

Illinois

Description

The Care Coach Coordinator 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.

Humana Benefits - How we Value You

Benefits starting day 1 of employment

Competitive 401k match

Generous Paid Time Off accrual

Tuition Reimbursement

Parent Leave

Go365 perks for well-being

Responsibilities

The LTSS Care Coach Coordinator 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.

The LTSS Care Coach Coordinator assesses and evaluates member's needs and requirements in order to establish a member specific care plan and coordinates services.

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.

Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities and other care settings - 75-90% local travel.

There are multiple positions open at this time. Territories we will be covering are:

North Chicago - Evanston, Skokie, Wilmette, Highland Park - IL

Required Qualifications

The LTSS 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 with - one (1) year of experience in long term care, hospital and/or Medicare/Medicaid Program experience, plus a minimum of two (2) years of experience conducting comprehensive assessment of the elderly population OR

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.

Licensed Professional Counselor (LPC) OR

Licensed Social Worker (LSW)

The LTSS Care Coach Coordinator must meet all

of the following requirements:

Prior experiences in health care and/or case management.

Intermediate to advanced computer skills and experience with Microsoft Word, Excel and Outlook.

Ability to use a variety of electronic information applications/software programs including electronic medical records.

We will require full COVID vaccination (https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated.html#vaccinated) for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.

If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law

Additional Requirements

This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

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.

Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required.

Preferred Qualifications

Master's Degree in social sciences, social work, human services or a related field.

Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Professional Counselor (LCPC) or Licensed Professional Counselor (LPC).

Certified Case Manager (CCM).

Prior experience with Medicare & Medicaid recipients and/or long term care and/or Home and Community based services and/or working with managed care organizations.

Experience with health promotion, coaching and wellness.

Knowledge of community health and social service agencies and additional community resources.

Additional Information

Training: February 14, 2022

Work Schedule:

Monday - Friday; 8am - 5pm. Flexible with work schedule if needed.

Travel:

75 - 90% travel in the field to visit members in North Chicago - Evanston, Skokie, Wilmette, Highland Park IL

Onsite Travel

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m, and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process.

#ThriveTogether #WorkAtHome

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Voice to enhance our hiring and decision-making ability. Modern Hire Voice allows us to quickly connect and gain valuable information from 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 (please be sure to check your spam or junk folders often to ensure communication isn't missed)

inviting you to participate in a Modern Hire Voice interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded 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