H

Humana

Sells Medicare health plans and runs senior clinics

Care Coordinator

Case Management & AdvocacyPosted on Nov 9
Full-timeChicago, IL, USA$59.1k - $79.9k /yr

About the Job

Requirements

  • A bachelor's degree in social sciences, social work, human services, or a health-related field, or an active, unrestricted Licensed Practical Nurse (LPN) in Illinois with one year of experience conducting comprehensive assessments and providing formal services to elderly individuals.
  • At least one year of experience in health care and case management.
  • Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
  • Ability to use electronic information applications and software programs, including electronic medical records.
  • Ability to travel in the region to meet face to face with members and/or their families.
  • Must complete screening for tuberculosis (TB) as part of the patient-facing role.
  • Must have a valid state driver's license and maintain personal vehicle liability insurance at the applicable state minimum limits or $25,000 bodily injury per person, $25,000 bodily injury per event, and $10,000 property damage, whichever is higher.

Responsibilities

  • Visit Illinois FIDE members in their homes for in-person visits.
  • Complete assessments in person and by telephone.
  • Identify and resolve barriers that hinder effective care.
  • Plan and implement interventions to meet care needs.
  • Coordinate services, monitor the case management plan, and evaluate it against members' personal goals.
  • Continuously monitor patient care using assessments, data, conversations with members, and active care planning to ensure progress toward desired outcomes.

Desired Qualifications

  • An active, unrestricted Licensed Professional Counselor (LPC) license in Illinois.
  • An active, unrestricted Licensed Social Worker (LSW) license in Illinois.
  • Ability to speak, read, and write English and Spanish, Arabic, Vietnamese, Amharic, Urdu, or another language without limitations or assistance.
  • Certified Case Manager (CCM) certification.
  • A master's degree in a health-service-related field.
  • 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.

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

Recently Posted Jobs

Explore more opportunities at Humana

See more jobs