Care Coach

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Evaluate the care needs of members and ensure that services are delivered in the least restrictive environment.

• Identify and address obstacles to effective care.

• Develop and execute interventions to satisfy care requirements.

• Coordinate services and assess case management plans against the individual goals of members.

• Continuously track patient care and progress towards desired outcomes through assessments, data analysis, discussions, and proactive care planning.

• Conduct assessments and evaluations via telephone and in-person.

• Address immediate and critical gaps in care and access.

• Support enrollees in filing grievances and appeals.

• Clarify MCO requirements, services, and benefits.

• Offer information and referrals to community resources.

• Assist members and their families in navigating suitable care resources.

• Facilitate communication with payers, providers, interdisciplinary teams, and others involved in the care of members.

• Travel to hospitals as required.

⛳️ Requirements

• Bachelor's degree in social sciences, social work, human services, or a related discipline; OR an unrestricted Licensed Practical Nurse (LPN) in Illinois with one year of experience performing comprehensive assessments and delivering formal services to the elderly; OR Licensed Professional Counselor (LPC); OR Licensed Social Worker (LSW); OR Qualified Mental Health Professional (QMHP).

• Must be a resident of Illinois.

• Minimum of 1 year of experience in healthcare and/or case management.

• At least 1 year of experience with Medicare and Medicaid recipients, long-term care, Home and Community Based Services, and/or managed care organizations.

• Proficient in using electronic medical records and various electronic information applications/software programs.

• Valid state driver's license required.

• Personal vehicle liability insurance that meets or exceeds the stated minimum limits.

• Availability to work Monday–Friday during operational hours of 8:00 AM–7:00 PM CST, primarily from 8:00 AM–5:00 PM CST, with flexibility in scheduling.

• Capability to fulfill remote work internet requirements of a minimum of 25 Mbps download and 10 Mbps upload.

• A dedicated workspace free from interruptions to safeguard member PHI/HIPAA information.

• Required TB screening upon selection.

• Willingness to travel up to 25% to visit members in hospitals within a 50-mile radius.

🏝️ Benefits

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability.

• Long-term disability.

• Life insurance.

• Personal vehicle liability insurance requirement for driving positions.

• Opportunity for remote work from home.

• Occasional travel to Humana offices for training or meetings.