[Remote] Care Coach District 14

Note: The job is a remote job and is open to candidates in USA. Humana Inc. is committed to putting health first and is seeking a Care Coach to evaluate members' needs and facilitate interactions with appropriate resources for their well-being. The Care Coach will work closely with members to assess their needs, develop care plans, and connect them with services, promoting optimal health outcomes.

Responsibilities

• Administer initial and ongoing long-term services and support related assessments through person-centered thinking approaches
• Contacts members both telephonically and/or in-person to establish goals and priorities, evaluate resources, develop plan of care and identify LTSS providers and community partnerships to provide a combination of services and supports that best meet the needs and goals of member and caregiver through person centered thinking approaches.
• Development and continuous modification of Service Plan and involve applicable members of the care team in care planning (Informal caregiver coach, PCP, etc.)
• Support members through navigation of their LTSS and related environmental and social needs Utilize available information pertaining to member to prevent the need for administration of duplicative assessments.
• Focuses on supporting members and/or caregivers in accessing long term services and support, social, housing, educational and other services, regardless of funding sources to meet their needs.
• Build trust and promote independence through a collaborative relationship with the Care Coordinator, member and caregiver.
• Identify transition opportunities and work closely with transition coordinators to support member choice.
• Coordinating with Care Coordinator on referrals for non-capitated services and capturing all services the member is receiving (regardless of payer), including their natural supports.
• Coordinating and consulting with Humana-contracted providers regarding delivery of LTSS services
• Participates in interdisciplinary Care team meetings (ICT)
• Connecting and referring members to community resources and third-party payers
• Assisting members in maintaining Medicaid eligibility
• Collaborate with Medical Director/Geriatrician/Care Coordinator as deemed necessary to ensure cohesive, holistic service delivery and support positive member outcomes.

Skills

• 2 or more years of related experience
• Knowledge of Microsoft Office Word and Excel
• Exceptional verbal/written communication and interpersonal skills
• Ability to use a variety of electronic information applications/software programs
• 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.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• 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.
• Must physically reside in Clark, Scott, Harrison, or Floyd County
• Prior experience with Medicare & Medicaid recipients
• Previous experience with electronic case note documentation and experienced with documenting in multiple computer applications/systems
• Experience with health promotion, coaching and wellness
• Knowledge of community health and social service agencies and additional community resources

Education Requirements

• Bachelor's degree in health and human services field

Benefits

• 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

Company Overview

• Humana is a health insurance provider for individuals, families, and businesses. It was founded in 1964, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is http://www.humana.com.

Company H1B Sponsorship

• Humana has a track record of offering H1B sponsorships, with 114 in 2025, 246 in 2024, 284 in 2023, 274 in 2022, 212 in 2021, 84 in 2020. Please note that this does not guarantee sponsorship for this specific role.

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