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Humana

Sells Medicare health plans and runs senior clinics

Community Resource Coordinator

Case Management & AdvocacyPosted on Nov 9
Full-timeSparta, WI, USA$53.7k - $72.6k /yr

About the Job

Requirements

  • A bachelor's degree in human services or a related field and at least 1 year of experience serving frail elders or adults with intellectual, developmental, or physical disabilities are required. Applicants with a bachelor's degree in another area of study need at least 3 years of experience.
  • Ability to travel up to 40% of the time to visit members.
  • Valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
  • Ability to meet the minimum home internet requirements of 25 Mbps download and 10 Mbps upload, and work from a dedicated space without ongoing interruptions to protect member protected health information.

Responsibilities

  • Assess members' health and safety needs, identify their strengths, interests, and preferences, and develop a comprehensive Member Care Plan.
  • Coordinate with a Field Care Nurse to provide services addressing members' health and safety needs and support them in the least restrictive environment in accordance with the Member Care Plan.
  • Travel to members' locations, typically their residences, to conduct face-to-face social assessments upon enrollment and at least every six months.
  • Travel to members' homes to conduct quarterly in-person visits and maintain monthly contact by phone.
  • Arrange support services for members, including social integration, community resources, employment, housing, and other non-medical needs.
  • Ensure cost-effective service delivery.
  • Evaluate risk factors and provide education to members.
  • Maintain accurate documentation, including case notes, service authorizations, and updates to the Member Care Plan.
  • Participate in Humana's driver safety program and complete required tuberculosis screening if selected.

Desired Qualifications

  • Reside within 45 minutes or less of the assigned coverage area.
  • Case management experience.

About the Company

Humana

Sells Medicare health plans and runs senior clinics

Humana sells health insurance paid for by government programs, chiefly Medicare Advantage plans that private insurers run for Americans 65 and older in place of traditional Medicare. It ranks among the largest Medicare Advantage insurers in the country and also runs Medicaid plans for low-income families in several states. Its CenterWell business operates senior primary care clinics, a mail-order pharmacy and home health services, so many members get care from a company the insurer owns. Medicare and states pay Humana a set monthly amount per member, and it keeps the difference between those payments and members' medical costs. Humana was founded in 1961 as a nursing home company and is based in Louisville, Kentucky.

Company size
10,001+
Company stage
IPO
Headquarters
Louisville, KY
Founded
1961

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