Senior Care Coach

Become a part of our caring community The Senior Care Coach 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 Senior Care Coach work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Senior Care Coordinators (SCC) will provide support to their manager by precepting, coaching, and mentoring team members. The SCC will assist in providing guidance, support, and development of processes utilized by the team as well as create supports and maintain a positive work environment. They will provide field work support to the team as needed and will monitor field work visits completed by team members.

They will elevate issues to their manager as needed and support team management as requested.

• Provides coverage for Care Coordinator (CC) 1 and 2 and be able to document in the clinical system.
• Mentors and supports the team, as well as training initiatives.
• Provides daily reports to the Care Coordinators regarding outstanding cases and will review daily compliance dashboards.
• Supports audit initiatives and support any internal and external auditing processes for the team.
• Completes field work support and review reports.
• Supports new hire onboarding including but not limited to precepting and case audits.
• Coordinates services, monitors, and evaluates the case management plan against the member's personal goals.
• Ensures the patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning.
• 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.
• Requires travel in IL up to 25% Use your skills to make an impact

The Senior Care Coordinator must meet one (1) of the following requirements:

• MSN, Registered Nurse (RN) in the state of Illinois with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly.
• Licensed Clinical Professional Counselor (LCPC).
• Licensed Clinical Social Worker (LCSW).

The Senior Care Coordinator must meet all following requirements:

• Must reside in the State of Illinois.
• 2+ years of experience in health care and/or case management.
• 2+ years of experience with Medicare & Medicaid recipients and/or long-term care and/or Home and Community based services and/or working with managed care organizations.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.

• CCM certification.
• Experience with health promotion, coaching, and wellness.
• Expertise of community health and social service agencies and additional community resources

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. This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

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 required; wireless, wired cable or DSL connection is suggested.

In certain roles, the minimum recommended internet speed…