Humana is a leading U.S. healthcare company, and they are seeking Long-Term Services and Support (LTSS) Care Coordinators in Illinois. The role involves assessing and evaluating members' needs to ensure optimal wellness and coordinating care services for Medicaid members.
Visits Medicaid members in their homes, Assisted Living Facilities (ALFs), and/or Long-Term Care Facilities and other care settings – 75-90% local travel (see Additional Information section)
Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs
Identifies and resolves barriers that hinder effective care
Plans and implement interventions to meet care needs
Coordinates services, monitors, and evaluates the case management plan against the member's personal goals
Ensures the member progresses towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning
Guides members/families towards resources appropriate for their care. Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member's care as appropriate and required by our comprehensive contract
Qualification
Required
Bachelor's degree in social sciences, social work, human services, or a related field
An active, unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with one (1) year of experience in conducting comprehensive assessments and provision of formal services to elderly individuals
Applicants must reside in Cook or Kane County, IL, within one of the following ZIP codes, or within a 10-mile radius of these Zip Codes: 60004, 60005, 60008, 60010, 60016, 60018, 60025, 60026, 60043, 60053, 60056, 60062, 60067, 60070, 60074, 60076, 60077, 60090, 60091, 60107, 60169, 60173, 60192, 60193, 60194, 60195, 60201, 60202, 60203, 60656, 60714, 64646, 60093
One (1) or more years of experience in health care and/or case management
One (1) or more years of experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services (HCBS), and/or managed care organizations
Ability to use a variety of electronic information applications/software programs including electronic medical records
Ability to travel in the region to meet face to face with members and/or their families, community partners and care teams
Preferred
An active, unrestricted Licensed Professional Counselor (LPC) in Illinois
An active, unrestricted Licensed Social Worker (LSW) in Illinois
Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance
Benefits
Medical, dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance
And many other opportunities
Humana is a health insurance provider for individuals, families, and businesses.
