Senior Care Coordinator - Catchment 7B, 7C

Become a part of our caring community Humana Gold Plus Integrated is seeking a Senior Care Coordinator to evaluate member's needs and requirements to achieve and maintain an optimal wellness state by guiding members/families toward resources appropriate for their care and wellbeing. The Senior Care Coordinator work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Care Coordinator (SCC) will provide support to their manager by precepting, coaching, and mentoring team members. The SCC will assist in providing guidance, support, and development of processes utilized by the team as well as create supports and maintain a positive work environment. They will provide field work support to the team as needed and will monitor field work visits completed by team members. They will escalation issues to their manager as needed and support team management as requested. Senior Care Coordinator Primary Roles & Responsibilities Provides coverage for Care Coordinator (CC) 1 and 2 and be able to document in the clinical system. Mentors and supports the team, as well as training initiatives. Provides daily reports to the Care Coordinators regarding outstanding cases and will review daily compliance dashboards. Supports audit initiatives and support any internal and external auditing processes for the team. Completes field work support and review reports. Supports new hire onboarding including but not limited to precepting and case audits. Coordinates services, monitors, and evaluates the case management plan against the member's personal goals. Ensures the patient is progressing 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. Visits Medicaid members in their homes, and/or Long-Term Care Facilities and other care settings - requires 75-90% local travel. The Senior Care Coordinator must meet one of the following requirements: Bachelor's degree in social sciences, social work, human services, or a related field. Unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly. Licensed Professional Counselor (LPC). The Senior Care Coordinator must meet all following requirements: ~ 2+ years of experience in health care and/or case management. ~2+ years of experience with Medicare & Medicaid recipients and/or long-term care and/or Home and Community based services and/or working with managed care organizations. ~ Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook. ~ Ability to use a variety of electronic information applications/software programs including electronic medical records. ~ Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders. ~ This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits. wireless, wired cable or DSL connection is suggested. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Master's degree in social sciences, social work, human services, or a related field. Experience with health promotion, coaching, and wellness. Expertise of community health and social service agencies and additional community resources. Workstyle / Travel This is a Field position that requires 75 - 90% travel in the field to visit members. Work Schedule Monday - Friday; 8am - 5pm CST but open to flexible work schedule. Full time Associates enjoy competitive pay and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more..... 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. 71,500 - $97,500 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. 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 Humana Humana Inc. (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. 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 #J-18808-Ljbffr