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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in assessing member needs and developing personalized care plans while ensuring compliance with Medicaid and Medicare regulations. Proficient in utilizing electronic documentation systems and fostering effective communication with members and care teams.
Highest-signal resume keywords
Bachelor's Degree In Health And Human ServicesLong-Term Services And Supports (LTSS) AssessmentMedicaid Eligibility MaintenanceElectronic Case Note DocumentationCommunity Health Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
LTSS NavigationHealth PromotionCoachingWellness PlanningCare Plan DevelopmentNeeds AssessmentResource EvaluationGoal SettingInterpersonal CommunicationDocumentation
Soft Skills
Exceptional Verbal CommunicationExceptional Written CommunicationInterpersonal Skills
Tools & Technologies
Microsoft Office WordMicrosoft Office ExcelElectronic Information ApplicationsComputer Applications
Certifications & Qualifications
Tuberculosis (TB) ScreeningValid State Driver's License
Industry Keywords
MedicareMedicaidCommunity Health AgenciesSocial Service AgenciesPerson-Centered ApproachesMember PHI/HIPAA Compliance
About the role
Key responsibilities & impact- Assess and evaluate members' needs and requirements to achieve or maintain optimal wellness
- Guide members and families toward appropriate care and wellbeing resources
- Meet members in their locations and assess needs and barriers
- Contact members telephonically and/or in person to establish goals and priorities
- Evaluate resources and develop plans of care
- Identify LTSS providers and community partnerships
- Administer initial and ongoing long-term services and support (LTSS) assessments using person-centered approaches
- Develop and continuously modify service plans
- Involve applicable care team members in care planning
- Support members with LTSS navigation and environmental and social needs
- Help members access long-term services and supports, social, housing, educational, and other services
- Assist members in maintaining Medicaid eligibility
- Collaborate with Medical Director, Geriatrician, and Care Coordinator to ensure cohesive service delivery and positive member outcomes
Requirements
What you’ll need- Bachelor's degree in health and human services field
- 2 or more years of related experience
- Knowledge of Microsoft Office Word and Excel
- Exceptional verbal/written communication and interpersonal skills
- Ability to use a variety of electronic information applications/software programs
- Required tuberculosis (TB) screening
- Valid state driver's license
- Personal vehicle liability insurance meeting stated minimum requirements
- Separate room with a locked door that can be used as a home office
- Prior experience with Medicare & Medicaid recipients (preferred)
- Previous experience with electronic case note documentation and documenting in multiple computer applications/systems (preferred)
- Experience with health promotion, coaching and wellness (preferred)
- Knowledge of community health and social service agencies and additional community resources (preferred)
- Home internet service with at least 25 Mbps download and 10 Mbps upload speed
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
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
- Occasional travel to Humana's offices for training or meetings may be required