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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 two years of related experience is required.
  • Knowledge of Microsoft Office Word and Excel is required.
  • Ability to use a variety of electronic information applications and software programs is required.
  • The role requires tuberculosis screening.
  • A valid state driver's license and personal vehicle liability insurance meeting applicable minimum limits are required.
  • A separate home-office room with a locked door is required to ensure continuous privacy while working.
  • A self-provided internet connection must support 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 protected health information.

Responsibilities

  • Administer initial and ongoing long-term services and supports assessments using person-centered thinking approaches.
  • Contact members by phone and/or in person to establish goals and priorities, evaluate resources, develop care plans, and identify providers and community partnerships that meet members' and caregivers' needs and goals.
  • Develop and continuously modify service plans, involving applicable care-team members in care planning.
  • Help members navigate long-term services and supports and related environmental and social needs, using available member information to avoid duplicative assessments.
  • Support members and caregivers in accessing long-term services and supports, social, housing, educational, and other services regardless of funding source.
  • Assist members in maintaining Medicaid eligibility.
  • Collaborate with medical directors, geriatricians, and care coordinators as needed to provide cohesive, holistic services and support positive member outcomes.

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 other 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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