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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, with a strong focus on assessing member needs and implementing personalized care plans. Proficient in engaging with interdisciplinary teams and community resources to enhance member wellness and support.
Highest-signal resume keywords
Case Management ExperienceMedicare & Medicaid KnowledgeBilingual English/SpanishCommunity Health Worker CertificationGeriatric Population Experience
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 Plan DevelopmentHealth PromotionWellness CoachingElectronic Case Note DocumentationMedication Application (RFA)Intermediate to Advanced Computer SkillsMicrosoft WordMicrosoft ExcelMicrosoft OutlookCommunity Resource Knowledge
Soft Skills
Interpersonal CommunicationProblem SolvingTeam CollaborationEmpathyOrganizational Skills
Certifications & Qualifications
AHCA Fingerprint701B CertificationFlorida Level 2 Background Screening
Industry Keywords
Health ServicesSocial WorkPsychologyLong Term CareAssisted LivingMedicaidMedicareCommunity HealthCase WorkerGeriatric Care
About the role
Key responsibilities & impact- Evaluate members' needs and requirements to achieve or maintain optimal wellness
- Guide members and families toward appropriate care and wellbeing resources
- Visit Medicaid members in homes, Assisted Living Facilities, Long Term Care Facilities, and other care settings
- Assess and evaluate member needs to establish member-specific care plans
- Ensure members receive services in the least restrictive setting
- Plan and implement interventions
- Coordinate services and monitor and evaluate case management plans against members' personal goals
- Facilitate interactions with payer sources, providers, interdisciplinary teams, and others involved in members' care
- Meet members in their locations, assess needs and barriers, and connect them with quality services
- Report to the Regional Care Coach Manager
- Travel locally 75-90% of the time
Requirements
What you’ll need- Bachelor's Degree with at least 2 years of relevant experience (Health Services, Social Work, Psychology), OR Registered Nurse (RN), licensed in the state of Florida with at least 2 years of relevant experience, OR Licensed Practical Nurse (LPN), licensed in the state of Florida, with at least 4 years of relevant experience, OR Case Worker with a minimum of 6 years of Health Services/Case Management Experience
- Prior experience with Medicare & Medicaid recipients
- Must reside in the listed areas within the region
- Intermediate to advanced computer skills
- Experience with Microsoft Word, Excel and Outlook
- AHCA Fingerprint Required
- Ability to complete Humana's Tuberculosis (TB) screening program
- Valid state driver's license
- Proof of personal vehicle liability insurance
- Ability to work Monday-Friday 8:30am-5:00pm
- Bilingual English/Spanish preferred, with ability to pass a Language Proficiency Exam
- Community Health Worker preferred
- Prior nursing home diversion or long term care case management experience preferred
- Experience with electronic case note documentation and documenting in multiple computer applications/systems preferred
- Experience working with geriatric population preferred
- Experience with health promotion, coaching and wellness preferred
- Knowledge of community health and social service agencies and additional community resources preferred
- 701B Certification preferred
- Medication application (RFA) experience preferred
- Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse
Benefits
Comp & perks- 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 wellness support
- Smart healthcare decision support
- 75-90% local travel in the role