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Humana

Sells Medicare health plans and runs senior clinics

Field Care Coordinator

Case Management & AdvocacyConfirmed live in the last 24 hours
Full-time$53.7k - $72.6k /yr

About the Job

Requirements

  • Must live in Collier or Charlotte County, Florida.
  • A bachelor's degree in a health and human services field is required.
  • At least 2 years of related experience is required.
  • Exceptional verbal and written skills are required.
  • Ability to use a variety of electronic information applications and software programs is required.
  • A valid state driver's license, reliable vehicle, and proof of personal vehicle liability insurance with limits of at least 100,000/300,000/100,000 are required.
  • The position is subject to Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse.

Responsibilities

  • Visit Medicaid members in their homes, assisted living facilities, long-term care facilities, and other care settings; the role involves 75–90% local travel.
  • Assess and evaluate member needs and requirements to establish member-specific care plans.
  • Ensure members receive services in the least restrictive setting to achieve or maintain optimal well-being.
  • Plan and implement interventions to meet member needs.
  • Coordinate services, and monitor and evaluate case management plans against members' personal goals.
  • Guide members and families toward resources appropriate for their care.
  • Facilitate interactions with other payer sources, providers, interdisciplinary teams, and others involved in member care, as appropriate and required by the comprehensive contract.
  • Identify and resolve barriers that hinder effective care.
  • Monitor patient care using assessments, data, conversations with members, and active care planning to ensure progress toward desired outcomes.

Desired Qualifications

  • Previous experience with electronic case note documentation and documenting in multiple computer applications or systems.
  • Prior experience with Medicare and Medicaid recipients.
  • Experience with health promotion, coaching, and wellness.
  • Knowledge of community health and social service agencies and additional community resources.
  • Bilingual Spanish and English.

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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