Humana
Care Coach 1
Base pay range: $53,700.00/yr - $72,600.00/yr
Be part of our caring community and help us put health first.
Responsibilities
Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities and other care settings – 75-90% local travel.
Assess and evaluate member’s needs and requirements to establish a member‑specific care plan.
Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well‑being.
Plan and implement interventions to meet those needs.
Coordinate services, monitor and evaluate the case management plan against the member’s personal goals.
Guide members/families towards resources appropriate for their care.
Facilitate interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member’s care as appropriate and required by our comprehensive contract.
Required Qualifications
Bachelor’s Degree with at least 2 years of relevant experience (Health Services, Social Work, Psychology).
Registered Nurse (RN), licensed in the state of Florida with at least 2 years of relevant experience.
Licensed Practical Nurse (LPN), licensed in the state of Florida, with at least 4 years of relevant experience.
Prior experience with Medicare & Medicaid recipients.
Minimum 2 years case management experience.
Bilingual (English/Spanish).
Ability to work Monday‑Friday (8:30am‑5:00pm).
Intermediate to advanced computer skills and experience with Microsoft Word, Excel and Outlook.
AHCA Fingerprint required.
Patient‑facing role; required TB screening.
Valid state driver’s license and proof of personal vehicle liability insurance for Humana’s Driver safety program.
Preferred Qualifications
Prior nursing home diversion or long‑term care case management experience.
Experience with electronic case note documentation and documenting in multiple computer applications/systems.
Experience working with geriatric population.
Experience with health promotion, coaching and wellness.
Knowledge of community health and social service agencies and additional community resources.
701B Certification.
Medication application (RFA) experience.
Benefits Humana offers a variety of benefits to promote the best health and well‑being of our employees and their families, including:
Health benefits effective day 1.
Paid time off, holidays, volunteer time, and jury duty pay.
Recognition pay.
401(k) retirement savings plan with employer match.
Tuition assistance.
Scholarships for eligible dependents.
Parental and caregiver leave.
Employee charity matching program.
Network Resource Groups (NRGs).
Career development opportunities.
Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Seniority Level
Entry level
Employment Type
Full‑time
Job Function
Other
Industries
Insurance
Work at Home Requirement Employees working from home must provide a reliable internet connection with a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Eligible employees in specific states receive a bi‑weekly payment for internet expenses. Home or hybrid employees will also receive appropriate telephone equipment. Employees must maintain a dedicated workspace that protects PHI and HIPAA information.
Hiring Process Hiring will involve an interview using HireVue technology.
Location Orlando, FL
#J-18808-Ljbffr
Be part of our caring community and help us put health first.
Responsibilities
Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities and other care settings – 75-90% local travel.
Assess and evaluate member’s needs and requirements to establish a member‑specific care plan.
Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well‑being.
Plan and implement interventions to meet those needs.
Coordinate services, monitor and evaluate the case management plan against the member’s personal goals.
Guide members/families towards resources appropriate for their care.
Facilitate interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member’s care as appropriate and required by our comprehensive contract.
Required Qualifications
Bachelor’s Degree with at least 2 years of relevant experience (Health Services, Social Work, Psychology).
Registered Nurse (RN), licensed in the state of Florida with at least 2 years of relevant experience.
Licensed Practical Nurse (LPN), licensed in the state of Florida, with at least 4 years of relevant experience.
Prior experience with Medicare & Medicaid recipients.
Minimum 2 years case management experience.
Bilingual (English/Spanish).
Ability to work Monday‑Friday (8:30am‑5:00pm).
Intermediate to advanced computer skills and experience with Microsoft Word, Excel and Outlook.
AHCA Fingerprint required.
Patient‑facing role; required TB screening.
Valid state driver’s license and proof of personal vehicle liability insurance for Humana’s Driver safety program.
Preferred Qualifications
Prior nursing home diversion or long‑term care case management experience.
Experience with electronic case note documentation and documenting in multiple computer applications/systems.
Experience working with geriatric population.
Experience with health promotion, coaching and wellness.
Knowledge of community health and social service agencies and additional community resources.
701B Certification.
Medication application (RFA) experience.
Benefits Humana offers a variety of benefits to promote the best health and well‑being of our employees and their families, including:
Health benefits effective day 1.
Paid time off, holidays, volunteer time, and jury duty pay.
Recognition pay.
401(k) retirement savings plan with employer match.
Tuition assistance.
Scholarships for eligible dependents.
Parental and caregiver leave.
Employee charity matching program.
Network Resource Groups (NRGs).
Career development opportunities.
Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Seniority Level
Entry level
Employment Type
Full‑time
Job Function
Other
Industries
Insurance
Work at Home Requirement Employees working from home must provide a reliable internet connection with a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Eligible employees in specific states receive a bi‑weekly payment for internet expenses. Home or hybrid employees will also receive appropriate telephone equipment. Employees must maintain a dedicated workspace that protects PHI and HIPAA information.
Hiring Process Hiring will involve an interview using HireVue technology.
Location Orlando, FL
#J-18808-Ljbffr