Description
Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who 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.
This position serves members of the new Indiana Medicaid program - Indiana PathWays for Aging (PathWays). The program was designed to help more Hoosiers who choose to age at home, do so, and to achieve better access to services, and better health and quality outcomes.
Responsibilities:
- Facilitate the development of a longitudinal and trusting relationship with each member toward improved quality, continuity, and coordination of care.
- Responsible for the coordination of all the member's needed medical and non-medical services, including functional, social, and environmental services.
- Works collaboratively with the Service Coordinator, Transition Coordinator, and other care team staff to address the member's identified needs.
- Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers as appropriate to coordinate the care and benefits of members who are also eligible for Medicare.
- Primary point of contact for the Interdisciplinary Care Team (ICT) and shall be responsible for coordinating with the member, ICT participants, and outside resources to ensure the member's needs are met.
Requirements:
- Licensed Registered Nurse (RN) in the state of Indiana without restrictions.
- At least two years of clinical experience as a nurse in providing case management or similar health care services.
- Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
- Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
- Proven ability of critical thinking, organization, written and verbal communication, and problem-solving skills.
- Ability to manage multiple or competing priorities in a fast-paced environment.
- Ability to use a variety of electronic information applications/software programs including electronic medical records.
- Live/Reside in Indiana.
Preferred Qualifications:
- Bilingual (English/Spanish) or (English/Burmese).
- Prior nursing home diversion, long-term care, disease management, or case management experience.
- Prior management of Home and Community Based Services waivers (HCBS dual roles only).
- Prior experience with Medicare & Medicaid recipients.
- Experience working with a geriatric population.
- Experience with health promotion, coaching, and wellness.
- Knowledge of community health and social service agencies and additional community resources.
Benefits:
- Health Insurance begins on day one.
- 23 days of vacation with pay per year.
- 401K program matching 100% of 6% after year one.
Workstyle:
- Combination remote work at home and onsite member visits.
- Must reside in Indiana.
- Must be able to work a 40-hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs.
- Must be willing to commute about 70% to meet with members.
- Occasional travel to Humana's offices for training or meetings may be required.