# Transition Coordinator (Care Coach 2)

**Company**: Humana
**Location**: Remote Indiana
**Work arrangement**: remote
**Job type**: full-time
**Salary**: $59,300 - $80,900 per year
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://humana.wd5.myworkdayjobs.com/en-US/Humana_External_Career_Site/job/Remote-Indiana/Transition-Coordinator_R-428190?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_475ca6e3-323

## Description

The Transition Coordinator (Care Coach 2) evaluates members' needs and requirements to achieve and maintain an optimal wellness state.

Responsibilities:

- Support ongoing member transitions in and out of Indiana Medicaid programs, Contractor's enrollment, and among care settings.

- Complete transitions and assist with planning and preparation for them, and follow-up care after.

- Collaborate with the Member Advocate Coordinator and other member-focused departments to ensure continuity and coordination of care and member and provider communication.

- Ensure transfer and receipt of all outstanding prior authorization decisions, utilization management data, and clinical information.

- Help with transitions from custodial settings to home and community-based settings.

- Conduct telephonic and in-person meetings within an assigned region to work with various stakeholders.

- Assess and evaluate members' needs to establish a member-specific care plan and coordinate services.

- Ensure members are transitioning to the least restrictive setting to achieve or maintain well-being.

- Guide members and families towards resources appropriate for their care.

Requirements:

- Bachelor's degree in a health and human services field.

- 2 or more years of relevant experience.

- Valid state driver's license and personal vehicle liability insurance.

- Separate room with a locked door for home office use.

- Reside in one of the following Indiana counties: Laporte, St Joseph, Marshall, Elkhart, or Kosciusko.

Preferred Qualifications:

- Master's degree.

- Applicable state license in field of study.

- Case Management Certification (CCM).

- Interqual or Milliman experience.

- Prior experience with Medicare & Medicaid recipients.

- Experience with electronic case note documentation and multiple computer applications/systems.

- Knowledge of community health and social service agencies.

Additional Information:

- Work from home requirements: minimum download speed of 25 Mbps and upload speed of 10 Mbps.

- Occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours: 40

Pay Range: $59,300 - $80,900 per year

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.

## Skills

### Required
- healthcare
- case management
- communication
- coordination of care

### Nice to have
- Master's degree
- state license
- CCM
- Interqual
- Milliman
- Medicare & Medicaid experience

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Source: [Apply at humana.wd5.myworkdayjobs.com](https://humana.wd5.myworkdayjobs.com/en-US/Humana_External_Career_Site/job/Remote-Indiana/Transition-Coordinator_R-428190?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)
