Care Coach

Discover a rewarding opportunity to make a meaningful difference as a Care Coach with Humana Gold Plus-Integrated in Illinois. In this vital role, you will be at the forefront of supporting members' health and wellness by conducting comprehensive assessments, identifying needs, and guiding members and their families to essential resources for optimal care.

Responsibilities:

• Employs a variety of strategies, approaches and techniques to manage a member's health issues telephonically.
• Identifies and resolves barriers that hinder effective care.
• Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessments, data, conversations with member, and active care planning.
• Understands own work area professional concepts/standards, regulations, strategies and operating standards.
• Makes decisions regarding own work approach/priorities and follows direction.
• Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.
• Follows established guidelines/procedures.

Required Qualifications:

• Bachelor's degree in a health-related field, active Illinois LPN licensure, or the ability to obtain IL LPN license.
• 2 or more years of case management, medical case management, care coordination, or healthcare support experience.
• Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook.

Preferred Qualifications:

• Illinois residence
• Bilingual (English/Spanish)
• Certified Case Manager (CCM)
• Master's Degree
• Managed care experience
• Prior experience with Medicare & Medicaid recipients
• Previous experience with electronic case note documentation and experienced with documenting in multiple computer applications/systems
• Experience with health promotion, coaching and wellness
• Knowledge of community health and social service agencies and additional community resources

Additional Information:

• Workstyle: remote, work from home.
• Typical Work days/hours: Operating hours are Monday - Friday 8:00 AM - 7:00 PM CST but core hours for this position are primarily Monday – Friday, 8:00 AM – 5:00 PM CST. May need to be flexible with work schedule based on business needs.

Benefits:

• 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