Humana Jobs – Care Coach

Website Humana

Job Description:

The Care Coach 1 assesses and evaluates member’s needs and requirements to achieve and/or maintain optimal 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 Care Coach 1 role involves meeting members in their location, spending quality time assessing their needs and barriers and then connecting our members with quality services to promote their ultimate well-being and drive health outcomes.

Job Responsibilities:

  • 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
  • Coordinating services, and monitoring and evaluating the case management plan against the member’s personal goals
  • Planning and implementing interventions to meet those needs
  • Ensures members are receiving services in the least restrictive setting in order to achieve and/or maintain optimal well-being
  • Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities and other care settings – 75-90% local travel
  • Assesses and evaluates member’s needs and requirements in order to establish a member specific care plan
  • Guides members/families towards resources appropriate for their care

Job Requirements:

  • Registered Nurse (RN), licensed in the state of Florida with at least 2 years of relevant experience.
  • Intermediate to advanced computer skills and experience with Microsoft Word, Excel and Outlook
  • Bilingual (English/Spanish or English/Creole)
  • 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.
  • Licensed Practical Nurse (LPN), licensed in the state of Florida, with at least 4 years of relevant experience
    701B Certification
  • AHCA Fingerprint Required.
  • Knowledge of community health and social service agencies and additional community resources

Qualification & Experience:

  • Experience with electronic case note documentation and documenting in multiple computer applications/systems
  • Prior experience with Medicare & Medicaid recipients
  • Experience with health promotion, coaching and wellness
  • Experience working with geriatric population
  • Bachelor’s Degree with at least 2 years of relevant experience (Health Services, Social Work, Psychology)
  • Medication application (RFA) experience
  • Prior nursing home diversion or long term care case management experience

Job Details:

Company: Humana

Vacancy Type: Full Time

Job Location: Tallahassee, FL, US

Application Deadline: N/A

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