Care Coordinator

Humana Gold Plus Integrated is seeking Long-Term Services and Support (LTSS) Care Coordinators (Care Coach
1) in the state of Illinois to assess and evaluate members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families towards and facilitating interaction with resources appropriate for the care and wellbeing of members.

• Visits Medicaid members in their homes, Assisted Living Facilities (ALFs), and/or Long-Term Care Facilities and other care settings – 75-90% local travel.
• Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
• Identify and resolve barriers that hinder effective care.
• Plan and implement interventions to meet care needs.
• Coordinate services, monitor, and evaluate the case management plan against the member's personal goals.
• Ensure the member progresses towards desired outcomes by continuously monitoring patient care through use of assessment data, conversations with member, and active care planning.
• Guide members/families towards resources appropriate for their care, 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.

• One of the following requirements:
  • Bachelor's degree in social sciences, social work, human services, or a related field.
  • An active, unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with at least one year of experience conducting comprehensive assessments and providing formal services to elderly individuals.
• All of the following requirements:
  • Applicants must reside in Cook or Kane County, IL, within one of the specified ZIP codes or within a 10-mile radius.
  • One or more years of experience in health care and/or case management.
  • One or more years of experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services (HCBS), and/or managed care organizations.
  • Ability to use a variety of electronic information applications/software programs including electronic medical records.
  • Ability to travel in the region to meet face-to-face with members and/or their families, community partners, and care teams.

• An active, unrestricted Licensed Professional Counselor (LPC) in Illinois.
• An active, unrestricted Licensed Social Worker (LSW) in Illinois.
• 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.

• Workstyle:
  Field position – employees perform core duties at non-company locations such as providing services at business partner facilities or prospects' and members' homes.
• Travel: 75-90% field interactions with members and/or their families, community partners, and care teams. May need to attend occasional onsite meetings at Humana's Schaumburg, IL office.
• Mileage reimbursement for travel between client or assignment locations and home.
• Work schedule:
  
  Monday - Friday; 8:00 AM - 5:00 PM Central Standard Time (CST), with flexibility available. Additional hours may be required based on business needs.
• Language assessment:
  Any associate who speaks with a member in a language other than English must take a language proficiency assessment provided by an outside vendor under the Interagency Language Rating (ILR) test.

This role is part of Humana's driver safety program and requires a valid state driver's license and personal vehicle liability insurance in accordance with state minimums. It is also part of Humana’s Tuberculosis (TB) screening program – selected candidates will be required to be screened for TB.

Employees who work from home or in a hybrid home/office setting must provide internet service meeting a minimum download speed of 25 Mbps and upload speed of 10 Mbps, with a dedicated space without ongoing interruptions to protect member PHI and HIPAA information.

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