Responsibilities

We are looking for motivated and dynamic case managers that enjoy making a difference in the lives of others! 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.

If you are looking for a new work family and team of dynamic professionals, we hope you will apply!

The Care Coach 1

• Visit 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
• Care Coaches shall meet one of the following qualifications:Bachelor's degree in Social Work, Sociology, Psychology, Gerontology or related field Registered Nurse (RN) licensed in the state of Florida 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.
• Previous experience with electronic case note documentation and experience with documenting in multiple computer applications/systems
• 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.
• Intermediate to advanced computer skills and experience with Microsoft Word, Excel and Outlook.
• 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.
• AHCA Fingerprint Required.
• Must provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required
• Ability to work Monday-Friday 8:30am-5:00pm

Preferred Qualifications

• 701B Certification
• Medication application (RFA) experience
• Prior experience with Medicare & Medicaid recipients
• Prior nursing home diversion or long term care case management experience
• Experience working with geriatric population
• Experience with health promotion, coaching and wellness
• Knowledge of community health and social service agencies and additional community resources
• Bilingual with ability to pass a language assessment