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Humana

Sells Medicare health plans and runs senior clinics

Field Service Coordinator

Case Management & AdvocacyPosted on Nov 10
Full-timeIndiana, USA$53.7k - $72.6k /yr

About the Job

Requirements

  • A bachelor's degree in a health and human services field is required.
  • At least 2 years of related experience is required.
  • Knowledge of Microsoft Office Word and Excel is required.
  • The role requires verbal and written communication and interpersonal skills.
  • The role requires the ability to use a variety of electronic information applications and software programs.
  • The role is patient-facing and requires TB screening.
  • A valid state driver's license and personal vehicle liability insurance meeting the stated minimum limits or the residing state's higher required limits are required.
  • A separate home-office room with a locked door is required to ensure continuous privacy while working.
  • Home internet must provide at least 25 Mbps download and 10 Mbps upload; wireless, wired cable, or DSL is suggested.
  • A dedicated work space without ongoing interruptions is required to protect member PHI/HIPAA information.

Responsibilities

  • Administer initial and ongoing long-term services and support assessments using person-centered thinking approaches.
  • Contact members by telephone and/or in person to establish goals and priorities, evaluate resources, develop a plan of care, and identify long-term services and support providers and community partnerships that meet the needs and goals of members and caregivers.
  • Develop and continuously modify service plans, involving applicable care-team members in care planning.
  • Support members in navigating long-term services and support and related environmental and social needs, using available member information to avoid duplicative assessments.
  • Help members and caregivers access long-term services and support, social, housing, educational, and other services regardless of funding source.
  • Assist members in maintaining Medicaid eligibility.
  • Collaborate with the Medical Director, geriatrician, and care coordinator as needed to provide cohesive, holistic service delivery and support positive member outcomes.
  • Occasionally travel to Humana offices for training or meetings may be required.

Desired Qualifications

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

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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