Care Coach; Adults & Pediatrics

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

The Care Coach is responsible for evaluating members’ needs and requirements to help them achieve and maintain optimal wellness. This is accomplished by guiding members and their families toward, and facilitating interaction with, resources that are appropriate for the care and wellbeing of members. The Care Coach 1 position involves work assignments that are typically straightforward and of moderate complexity.

The following section outlines the specific duties and responsibilities associated with the Care Coach 1 role. This position, which reports to the Manager of Care Management within Humana Healthy Horizons in Virginia, is focused on supporting members and their families in accessing the resources needed to promote their overall health and wellness.

• Manages a caseload of members.
• Develops and modify Individual Care Plan and involve applicable members of the care team in care planning (Informal caregiver, coach, PCP, etc.).
• Provides specialized support for members with a focus on addressing health related social needs (HRSNs), providing psychosocial support, and meeting the member's individualized health needs.
• Ensures members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
• Focuses on supporting members and/or caregivers utilizing an interdisciplinary approach in accessing social, housing, educational and other services, regardless of funding sources to meet their needs.
• Ensures members are progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning.
• Collaborates with Community Health Workers (CHWs), Housing Specialists and other internal and external agencies for HRSN needs.
• Primary point of contact for the ICT and shall be responsible for coordinating with the member, ICT participants, and outside resources to ensure the member’s needs are met.
• Employs a variety of strategies, approaches and techniques to manage a member's health issues and identify and resolve barriers that hinder effective care.
• Understands professional concepts, regulations, strategies and operating standards.
• Makes decisions regarding work approach/priorities and follows direction.

• Must reside in Virginia (NOVA region)
• Bachelor's degree in health or human services field or an active LPN license in the Commonwealth of Virginia without disciplinary action.
• Two (2) years of prior experience in health care and/or case management.
• One (1) year of experience working directly with individuals who meet the Cardinal Care Priority Population criteria (adults, pediatrics populations at risk for chronic medical conditions & high social needs).
• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Ability to use a variety of electronic information applications/software programs including electronic medical records. (Patient Information, Patient documentation)
• Exceptional oral and written communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
• Ability to manage multiple or competing priorities in a fast-paced environment.

• Prior experience with Medicare, Medicaid and dual eligible populations.
• Experience with health promotion, coaching and wellness
• Knowledge of community health and social service agencies and additional community resources
• Bilingual or Multilingual:
  English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance. See "Additional Information" section for more information.

Workstyle: Field - This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.

Workdays and

Hours:

Must be able to work a 40 hour work week, Monday through Friday 8:00 AM…