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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in case management and care coordination, utilizing telephonic strategies to manage health issues and develop active care plans. Proficient in navigating community resources and healthcare systems to support members and their families effectively.
Highest-signal resume keywords
Case Management ExperienceActive Illinois LPN LicensureBilingual English/SpanishCertified Case Manager (CCM)Experience with Medicare and Medicaid
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care CoordinationHealth PromotionCoachingComprehensive AssessmentsElectronic Case Note Documentation
Soft Skills
Problem SolvingCommunicationDecision Making
Tools & Technologies
Microsoft OfficeWordExcelOutlook
Certifications & Qualifications
Certified Case Manager (CCM)
Industry Keywords
Managed CareCommunity HealthSocial Service AgenciesHealthcare Resources
About the role
Key responsibilities & impact- Manage members' health issues using telephonic strategies, approaches and techniques
- Identify and resolve barriers that hinder effective care
- Conduct comprehensive assessments and continuously monitor patient care and progress toward desired outcomes
- Develop and use active care plans based on assessments, data and conversations with members
- Guide members and their families to essential healthcare and community resources
- Follow professional concepts, standards, regulations, strategies, operating standards and established procedures
- Make decisions regarding work approach and priorities under managerial direction
- Report to the Manager, Care Management
Requirements
What you’ll need- Bachelor's degree in a health-related field, active Illinois LPN licensure, or ability to obtain an Illinois LPN license
- 2 or more years of case management, medical case management, care coordination, or healthcare support experience
- Comprehensive knowledge of Microsoft Office applications, including Word, Excel, and Outlook
- Bilingual English/Spanish preferred
- Certified Case Manager (CCM) preferred
- Master's Degree preferred
- Managed care experience preferred
- Prior experience with Medicare and Medicaid recipients preferred
- Experience with electronic case note documentation and multiple computer applications/systems preferred
- Experience with health promotion, coaching and wellness preferred
- Knowledge of community health and social service agencies and community resources preferred
Benefits
Comp & perks- 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
- Long-term disability
- Life insurance
- Dedicated remote work arrangement
- Self-provided internet service with required minimum speeds for home work
- Occasional travel to Humana offices for training or meetings
