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About the role
Key responsibilities & impact- Evaluate members’ needs and requirements to achieve and maintain optimal wellness
- Guide members and families toward appropriate care and wellbeing resources
- Provide support to the manager through precepting, coaching, and mentoring team members
- Provide guidance, support, and development of team processes
- Provide field work support and monitor team members’ field work visits
- Escalate issues to the manager and support team management as requested
- Provide coverage for Care Coordinators 1 and 2 and document in the clinical system
- Mentor and support the team and training initiatives
- Provide daily reports on outstanding cases and review compliance dashboards
- Support internal and external audit initiatives
- Complete field work support and review reports
- Support new-hire onboarding, including precepting and case audits
- Coordinate services and monitor and evaluate case management plans against members’ personal goals
- Monitor patient care using assessments, data, member conversations, and active care planning
- Facilitate interactions with payer sources, providers, interdisciplinary teams, and other care participants
- Visit Medicaid members in homes, long-term care facilities, and other care settings
- Travel 75–90% locally in the field
Requirements
What you’ll need- Bachelor’s degree in social sciences, social work, human services, or a related field; or unrestricted Licensed Practical Nurse (LPN) in Illinois with one year of experience conducting comprehensive assessments and providing formal service for the elderly; or Licensed Professional Counselor (LPC); or Licensed Social Worker (LSW)
- Must reside in the State of Illinois
- 2+ years of experience in health care and/or case management
- 2+ years of experience with Medicare & Medicaid recipients, long-term care, Home and Community Based Services, and/or managed care organizations
- Intermediate to advanced computer skills
- Experience with Microsoft Word, Excel, and Outlook
- Ability to use electronic information applications/software, including electronic medical records
- Exceptional communication and interpersonal skills
- Required tuberculosis screening
- Valid state driver’s license
- Proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits
- Minimum 25 Mbps download and 10 Mbps upload internet speed
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
Benefits
Comp & perks- Benefits effective on day 1
- 401(k) retirement savings plan
- Medical insurance
- Dental insurance
- Vision benefits
- Supplemental insurances
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Tuition assistance
- Bi-weekly internet expense payment for associates working from home in Illinois, California, Montana, or South Dakota
- Humana-provided telephone equipment for Home or Hybrid Home/Office associates
- Bonus incentive plan based on company and/or individual performance
- Flexible work schedule
- Remote work with occasional travel to Humana offices for training or meetings