Field Service Coordinator

Care Coach 1

The Care Coach evaluates member's needs to achieve or maintain wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Coach 1 work assignments are often straightforward and of moderate complexity.

The Service Coordinator (Care Coach 1) assesses and evaluates member's needs and requirements. This assessment aims to achieve and/or maintain an optimal wellness state. The coordinator guides members/families toward resources appropriate for their care and wellbeing, facilitating interaction with these resources. The Service Coordinator work assignments are often straightforward and of moderate complexity.

The Service Coordinator (Care Coach 1) role involves meeting members in their location. You will entail spending quality time assessing their needs and barriers. Then, the coordinator connects our members with quality services to promote their ultimate well-being and guide health outcomes. Responsibilities include:

• Administer ongoing long-term services and support (LTSS) related assessments through person-centered thinking approaches
• Contacts members both telephonically or in-person to establish goals and priorities. The employee does this to evaluate resources, develop a plan of care, and identify LTSS providers and community partnerships. The ultimate goal is to 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 or 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.

Required Qualifications:

• Bachelor's degree in health and human services field
• 2 or more years of related experience
• Use a variety of electronic information applications/software programs
• We consider this role patient facing and make it part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will screen yourself for TB.
• Must be passionate about contributing to an organization focused on improving consumer experiences
• We are looking for you to have a valid state driver's license and requires them to maintain personal vehicle liability insurance as part of Humana's driver safety program. Individual must carry vehicle insurance following their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher
• Must have a separate room with a locked door that can be used as a home office to ensure privacy while you work
• For this position you must reside in one of the following Indiana Counties: Blackford, Delaware, Grant, Henry, Jay, Madison, or Randolph

Preferred Qualifications:

• Prior experience with Medicare & Medicaid recipients
• Previous experience with electronic case note documentation and experienced with documenting in multiple computer applications
• Experience with health promotion, coaching and wellness
• Knowledge of community health and social service agencies and additional community resources

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours: 40

Pay Range: The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$53,700 - $72,600 per year

Description of Benefits: Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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.

About Us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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.