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Humana

Custodial Prevention Specialist

Humana

. Work one-on-one with members to create personalized care plans and coordinate services .

Posted 10/5/2026full-timeRemote • Illinois • United StatesJuniorMid-Level💰 $59,300 - $80,900 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in developing and coordinating personalized care plans for members, with a strong focus on Long Term Services and Support (LTSS) and Home and Community-Based Services (HCBS). Proficient in navigating social and health-related needs while advocating for member independence and access to essential services.

Highest-signal resume keywords
Bachelor's Degree In Social SciencesExperience With Medicare And Medicaid RecipientsLong Term Services And Support (LTSS)Home And Community-Based Services (HCBS)Electronic Medical Records

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Care Plan DevelopmentAssessment Of Member NeedsIndividual Service PlansTelephonic CommunicationFace-To-Face InteractionResource EvaluationGoal SettingAdvocacyLevel Of Care AssessmentsTB Screening
Soft Skills
Relationship BuildingAdvocacy SkillsInterpersonal CommunicationFlexibilityTeam Collaboration
Tools & Technologies
Electronic Information ApplicationsElectronic Medical Records SoftwareState Portal
Certifications & Qualifications
Valid State Driver's LicensePersonal Vehicle Liability Insurance
Industry Keywords
Long-Term Care ServicesManaged Care OrganizationsCustodial CareTransitional CareMedicaid Eligibility

About the role

Key responsibilities & impact
  • Work one-on-one with members to create personalized care plans and coordinate services
  • Assess members' goals, needs, barriers, resources, and ability to return to the community
  • Provide specialized support to members receiving Long Term Services and Support (LTSS)
  • Address health-related social needs and provide psychosocial support
  • Support members residing in nursing facilities by building relationships with facility staff and advocating for care
  • Contact members telephonically and face-to-face to establish goals, evaluate resources, develop plans of care, and identify providers and community partnerships
  • Support members and caregivers in accessing LTSS, social, housing, educational, and other services
  • Develop and modify Individual Service Plans and involve relevant care team members
  • Navigate LTSS and related environmental and social needs
  • Use available member information to prevent duplicative assessments
  • Recommend Home and Community-Based Services (HCBS) to support member independence
  • Facilitate interactions with payers, providers, and interdisciplinary care teams
  • Educate members on maintaining Medicaid eligibility
  • Enter annual Level of Care assessments into the state portal
  • Travel 75–90% in the field to visit members

Requirements

What you’ll need
  • Must reside in the state of Illinois
  • Bachelor's degree in social sciences, social work, human services, or a related field
  • Two (2) years of experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services (HCBS), or managed care organizations
  • One (1) or more years of professional experience working with members in custodial and transitional care
  • Experience using electronic information applications/software programs, including electronic medical records
  • Ability to travel in the region to meet face-to-face with members, families, community partners, and care teams
  • Valid state driver's license
  • Personal vehicle liability insurance meeting required limits
  • Ability to work Monday–Friday, 8:00 AM–5:00 PM Central Standard Time, with flexibility
  • Ability to complete TB screening if selected

Benefits

Comp & perks
  • Bonus incentive plan based on company and/or individual performance
  • Medical, dental and vision benefits
  • 401(k) retirement savings plan
  • Paid time off
  • Company and personal holidays
  • Paid parental and caregiver leave
  • Short-term and long-term disability
  • Life insurance
  • Flexible work schedule
  • Self-provided work-from-home internet service
  • Dedicated workspace for protecting member PHI/HIPAA information