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Humana

Sells Medicare health plans and runs senior clinics

Field Care Coordinator

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-time$53.7k - $72.6k /yr

About the Job

Requirements

  • One of the following qualifications is required: a bachelor's degree in Health Services, Social Work, or Psychology and at least 2 years of relevant experience; an active Florida Registered Nurse license and at least 2 years of relevant experience; an active Florida Licensed Practical Nurse license and at least 4 years of relevant experience; or at least 6 years of Health Services or case management experience as a case worker.
  • Prior experience with Medicare and Medicaid recipients is required.
  • Bilingual English and Spanish proficiency is required, including passing language proficiency exams in both languages.
  • Must reside in one of the listed areas within the region.
  • Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook are required.
  • AHCA fingerprinting is required.
  • The role is patient-facing and requires tuberculosis screening.
  • A valid state driver's license and proof of personal vehicle liability insurance are required.
  • Must be able to work Monday through Friday, 8:30 a.m. to 5:00 p.m.

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 members' 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 members' 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 members' care, as appropriate and required by the comprehensive contract.

Desired Qualifications

  • Community Health Worker experience or qualification.
  • Prior nursing home diversion or long-term care case management experience.
  • Experience with electronic case note documentation and documenting in multiple computer applications or systems.
  • Experience working with the geriatric population.
  • Experience with health promotion, coaching, and wellness.
  • Knowledge of community health and social service agencies and additional community resources.
  • 701B Certification.
  • Medication application (RFA) 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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