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

Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and 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. This position serves members of the new Indiana Medicaid program - Indiana PathWays for Aging (PathWays). The program was designed to help more Hoosiers who choose to age at home, do so, and to achieve better access to services, and better health and quality outcomes.

Position Responsibilities:

The Care Coordinator 2 employs a variety of strategies, approaches, and techniques to manage a member’s physical, environmental, and psycho-social health issues. Identifies and resolves barriers that hinder effective care.

• Facilitate the development of a longitudinal and trusting relationship with each member toward improved quality, continuity, and coordination of care.
• Responsible for the coordination of all the member’s needed medical and non-medical services, including functional, social, and environmental services.
• Works collaboratively with the Service Coordinator, Transition Coordinator, and other care team staff to address the member’s identified needs
• Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers as appropriate to coordinate the care and benefits of members who are also eligible for Medicare.
• Primary point of contact for the Interdisciplinary Care Team (ICT) and shall be responsible for coordinating with the member, ICT participants, and outside resources to ensure the member’s needs are met.

Required Qualifications

• Must reside in Indiana.
• Licensed Registered Nurse (RN) in the state of Indiana without restrictions
• At least one (1) year of experience in providing case management or similar health care services
• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
• Proven ability of critical thinking, organization, written and verbal communication and problem- solving skills.
• Ability to manage multiple or competing priorities in a fast-paced environment.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.

Preferred Qualifications

• Bilingual (English/Spanish) or (English/Burmese)
• Prior nursing home diversion or long-term care case management experience
• Prior experience with Medicare & Medicaid recipients
• Experience working with a geriatric population
• Experience with health promotion, coaching and wellness
• Knowledge of community health and social service agencies and additional community resources

Additional Requirements/Adherence

Workstyle: Combination remote work at home and onsite member visits

Location: Must reside in Indiana

Hours: Must be able to work a 40-hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs.

Travel: Must be willing to commute about 70% to meet with m:embers.

On Call-Telephonic on call for an occasional night and/or weekend may be required.

Work at Home Guidance

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Driver's License, Transportation, Insurance This role is a part of Humana's Driver Safety program and therefore requires and individual to have:

• Valid state driver's license
• Proof of personal vehicle liability insurance with at least $100,000/$300,000/$100,000 limits
• Access to a reliable vehicle

Tuberculosis (TB) screening program

• This role is considered patient facing and is part of Humana at Home's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Job Type: Full-time

Pay: $33.65 - $42.02 per hour

Expected hours: No less than 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Application Question(s):

• REQUIRED - Do you reside in Indiana? YES/NO (Please answer)

Experience:

• providing case management or similar health care services: 1 year (Required)
• Intermediate with Microsoft Word, Excel, and Outlook.: 1 year (Required)

License/Certification:

• RN License (Required)

Willingness to travel:

• 75% (Required)

Work Location: In person