Care Coach – Long-Term Services & Support

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

📋 Description

• Evaluate and assess the needs and requirements of members to ensure they achieve or maintain optimal wellness.

• Provide guidance to members and their families in accessing appropriate care and community resources.

• Conduct field visits to meet members at their homes, nursing facilities, or any preferred locations.

• Assess member goals, needs, barriers, resources, and priorities through both telephonic and in-person interactions.

• Create and adjust Individual Service Plans while involving relevant care team members.

• Assist members with navigating long-term services and addressing environmental and social needs.

• Coordinate access to long-term services, social support, housing, educational, and additional services.

• Recommend Home and Community-Based Services to promote member independence.

• Facilitate communication between payer sources, providers, and Interdisciplinary Care Teams.

• Educate members on how to maintain their Medicaid eligibility.

• Aid in entering annual Level of Care assessments into the state portal.

• Build rapport with nursing facility staff and advocate for the care of members.

• Evaluate members' desires and capabilities to reintegrate into the community.

• Prevent redundant assessments by utilizing available member information.

⛳️ Requirements

• Must be a resident of the Central region of Virginia, including Franklin City, Southampton, Sussex, Dinwiddie, or neighboring counties.

• Bachelor’s degree in a health or human services discipline OR a valid LPN license in the Commonwealth of Virginia without any disciplinary actions.

• A minimum of two years of experience in healthcare and/or case management.

• At least one year of experience working directly with individuals who meet Cardinal Care Priority Population criteria.

• Intermediate to advanced proficiency in computer skills.

• Familiarity with Microsoft Word, Excel, and Outlook.

• Proficient in using electronic information applications and software, including electronic medical records.

• Outstanding oral and written communication as well as interpersonal skills.

• Strong critical thinking, organizational, and problem-solving abilities.

• Completion of tuberculosis screening is required if selected.

• Willingness to travel to regional facilities and homes for face-to-face assessments and interactions.

• A valid state driver’s license is necessary.

• Personal vehicle liability insurance must meet state minimum requirements or Humana's specified limits, whichever is greater.

• Preferred: experience in nursing home diversion or long-term care case management.

• Preferred: familiarity with Medicare and Medicaid recipients.

• Preferred: experience in electronic case note documentation and various computer applications/systems.

• Preferred: background in working with complex health populations.

• Preferred: experience in health promotion, coaching, and wellness.

• Preferred: knowledge of Waiver Programs.

• Preferred: understanding of community health and social service agencies as well as community resources.

• Preferred: bilingual or multilingual proficiency, including English/Spanish, Arabic, Vietnamese, Amharic, Urdu, or other languages; must be able to speak, read, and write both languages fluently without assistance.

• Must be available to work Monday through Friday, from 8:00 AM to 5:00 PM Eastern Standard Time.

• Home internet connection must support a minimum of 25 Mbps download and 10 Mbps upload speeds.

• Must work from a designated area without ongoing interruptions to protect PHI/HIPAA information.

• Any associate communicating with members in a language other than English must complete an ILR language proficiency assessment.

🏝️ Benefits

• Comprehensive medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability coverage.

• Long-term disability coverage.

• Life insurance.

• Opportunity for home-based work with a dedicated workspace.

• Remote work arrangements available.

• Competitive benefits that support overall well-being.