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Humana Field Care Coordinator in Gainesville, Florida

Become a part of our caring community and help us put health first

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.

We are looking for motivated and dynamic case managers that reside in the Alachua county in FLORIDA.

This rewarding role allows you to spend time connecting with our members to ensure they receive the services they need. 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. If you enjoy applying your creativity and skills to help those in need, find long term solutions, this role is for is for you! Here at Humana, we thrive on teamwork and highlighting the success of each of our team members.

At Humana one of our main areas of focus is to inspire health in others. We are looking for individuals who enjoy talking to others about their health while providing education, motivation and encouragement. We also desire to cultivate the uniqueness in each of our associates as well as our members and are looking for individuals from various backgrounds who can bring their expertise to the role of the Care Coach 1. If you are looking for a new work family and team of dynamic professionals, we hope you will apply!

The Care Coach 1

  • Visits 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.

  • Ensures members are receiving services in the least restrictive setting in order to achieve and/or maintain optimal well-being.

  • Planning and implementing interventions to meet those needs.

  • Coordinating services, and monitoring and evaluating the case management plan against the member's personal goals

  • 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.

Use your skills to make an impact

Required Qualifications

  • Care Coaches shall meet ONE of the following qualifications:

  • Bachelor's Degree with at least 2 years of relevant experience (Health Services, Social Work, Psychology)

  • Registered Nurse (RN), licensed in the state of Florida with at least 2 years of relevant experience.

  • Licensed Practical Nurse (LPN), licensed in the state of Florida, with at least 4 years of relevant experience

  • Caseworker with at least 6 yrs of relevant experience

  • Prior experience with Medicare & Medicaid recipients

  • Intermediate to advanced computer skills and experience with Microsoft Word, Excel and Outlook

  • AHCA Fingerprint Required.

  • This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

  • 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.

  • Ability to work Monday-Friday (8:30am-5:00pm)

Preferred Qualifications

  • Bilingual (English/Spanish or English/Creole)

  • Prior nursing home diversion or long term care case management experience

  • Experience with electronic case note documentation and documenting in multiple computer applications/systems

  • Experience working with geriatric population

  • Experience with health promotion, coaching and wellness

  • Knowledge of community health and social service agencies and additional community resources

  • 701B Certification

  • Medication application (RFA) experience

WAH Internet Statement

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

Satellite, cellular and microwave connection can be used only if approved by leadership. Employees 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 employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Driving

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 100/300/100 limits.

TB

This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Benefits

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

  • Health benefits effective day 1

  • Paid time off, holidays, volunteer time and jury duty pay

  • Recognition pay

  • 401(k) retirement savings plan with employer match

  • Tuition assistance

  • Scholarships for eligible dependents

  • Parental and caregiver leave

  • Employee charity matching program

  • Network Resource Groups (NRGs)

  • Career development opportunities

SSN Alert

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

HireVue

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Scheduled Weekly Hours

40

Pay Range

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. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$53,700 - $72,600 per year

Description of 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

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