Humana Inc. is a leading U.S. healthcare company dedicated to improving health outcomes for its members. The Field Service Coordinator (Care Coach 1) assesses and evaluates members' needs to guide them toward appropriate resources for their care and well-being, facilitating interactions with these resources.
Administer ongoing long-term services and support (LTSS) related assessments through person-centered thinking approaches
Contacts members both telephonically and/or in-person to establish goals and priorities
The contacts also evaluate resources, develop a plan of care, and identify LTSS providers and community partnerships
These partnerships provide a combination of services and supports that best meet the needs and goals of the member and caregiver through person-centered thinking approaches
Development and modification of Service Plan and involve applicable members of the care team in care planning (Informal caregiver coach, PCP)
Support members through navigation of their LTSS and related environmental and social needs
Use available information on member to prevent the need for administration of duplicative assessments
Focus on supporting members and caregivers in accessing long-term services and support, social, housing, educational and other services, regardless of funding sources to meet their needs
Build trust and promote independence through a collaborative relationship with the Care Coordinator, member and caregiver
Identify transition opportunities and work with transition coordinators to support member choice
Coordinate with Care Coordinator on referrals for non-capitated services and capturing all services the member is receiving (regardless of payer), including their natural supports
Coordinate and consult with Humana-contracted providers regarding delivery of LTSS services
Participate in interdisciplinary Care team meetings (ICT)
Connect and refer members to community resources and third-party payers
Assist members in maintaining Medicaid eligibility
Collaborate with Medical Director/Geriatrician/Care Coordinator as deemed necessary to ensure cohesive, holistic service delivery positive member outcomes
Qualification
Required
Individual employed as a care manager by an AAA since June 30, 2018
Registered nurse, a licensed practical nurse, or an associate's degree in nursing with at least one (1) year of experience serving the program population
Bachelor's degree in Social Work, Psychology, Counseling, Gerontology, Nursing or Health & Human Services with at least (2) years of experience
A bachelor's degree in any field is required. It must be accompanied by a minimum of two years of full-time, direct service experience with older adults or persons with disabilities. This experience includes assessment, care plan development, and monitoring
Master's degree in Social Work, Psychology, Counseling, Gerontology, Nursing or Health & Human Services with at least (2) years of experience
An associate's degree in any field is required. Additionally, a minimum of four years of full-time, direct service experience with older adults or persons with disabilities is necessary. This experience should include assessment, care plan development, and monitoring
Must Reside in the Columbus IN or surrounding counties
Prior experiences in health care or case management
Ability to use a variety of electronic information applications/software programs including electronic medical records
Preferred
Bilingual (English/Spanish)
Bilingual (English/Burmese)
Prior nursing home diversion or long-term care case management experience
Prior experience with Medicare & Medicaid recipients
Experience with electronic case note documentation and documenting in multiple computer applications
Experience working with geriatric population
Experience with health promotion, coaching and wellness
Knowledge of community health and social service agencies and additional community resources
Benefits
Medical, dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance
Humana is a health insurance provider for individuals, families, and businesses.
