Senior Care Coordinator

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

📋 Description

• Assess the needs and requirements of members to ensure optimal wellness is achieved and maintained.

• Direct members and their families towards suitable care and wellbeing resources.

• Assist the manager by precepting, coaching, and mentoring team members.

• Offer guidance, support, and enhancement of team processes.

• Provide on-site support and monitor field visits conducted by team members.

• Raise any issues with the manager and assist team management as needed.

• Cover for Care Coordinators 1 and 2 and document activities in the clinical system.

• Mentor the team and contribute to training initiatives.

• Prepare daily reports on outstanding cases and review compliance dashboards.

• Aid in internal and external auditing efforts.

• Complete field work support and review associated reports.

• Assist with new-hire onboarding, including precepting and conducting case audits.

• Coordinate services while monitoring and evaluating case management plans in alignment with members’ personal goals.

• Oversee patient care through assessments, data analysis, member conversations, and active care planning.

• Facilitate communication with payer sources, providers, interdisciplinary teams, and other care participants.

• Conduct home visits for Medicaid members, including those in long-term care facilities and other care settings.

• Travel locally in the field 75–90% of the time.

⛳️ Requirements

• Bachelor’s degree in social sciences, social work, human services, or a related field; or an unrestricted Licensed Practical Nurse (LPN) in Illinois with one year of experience providing comprehensive assessments and formal services for the elderly; or Licensed Professional Counselor (LPC); or Licensed Social Worker (LSW).

• Must be a resident of the State of Illinois.

• At least 2 years of experience in healthcare and/or case management.

• A minimum of 2 years of experience working with Medicare & Medicaid recipients, long-term care, Home and Community Based Services, and/or managed care organizations.

• Intermediate to advanced computer proficiency.

• Familiarity with Microsoft Word, Excel, and Outlook.

• Capability to utilize electronic information applications/software, including electronic medical records.

• Outstanding communication and interpersonal abilities.

• Required tuberculosis screening.

• Valid state driver’s license.

• Evidence of personal vehicle liability insurance with limits of at least 100,000/300,000/100,000.

• Minimum internet speed of 25 Mbps download and 10 Mbps upload.

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

🏝️ Benefits

• Benefits commence on day 1.

• 401(k) retirement savings plan.

• Medical insurance.

• Dental insurance.

• Vision benefits.

• Supplemental insurance options.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability coverage.

• Long-term disability coverage.

• Life insurance.

• Tuition assistance.

• Bi-weekly internet expense reimbursement for associates working from home in Illinois, California, Montana, or South Dakota.

• Telephone equipment provided by Humana for Home or Hybrid Home/Office associates.

• Bonus incentive plan based on company and/or individual performance.

• Flexible work schedule.

• Opportunity for remote work with occasional travel to Humana offices for training or meetings.