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About the Role

The Care Coach evaluates member needs and requirements to achieve optimal wellness by guiding members/families toward appropriate resources for their care and wellbeing. This role involves work assignments that are often straightforward and of moderate complexity.

Responsibilities

• Conduct telephonic outreach to members with multiple chronic conditions and financial or functional barriers.
• Assess member needs through data review, structured assessments, and direct conversation to develop and manage individualized care plans.
• Coordinate services and connect members to appropriate clinical, community, and multidisciplinary resources.
• Ensure proper adherence to compliance.
• Identify and resolve barriers that impede effective care and member independence.
• Continuously monitor progress toward desired health outcomes and adjust care strategies as appropriate.
• Maintain strict adherence to compliance requirements within a highly regulated and highly visible program.
• Learn and navigate multiple computer systems simultaneously while engaging members in a fast-paced, structured environment with limited schedule flexibility.

Requirements

• Associate degree in any course.
• Minimum 2 years of experience in any direct adult patient care such as long-term care, home and community-based services, hospital/facility setting, case management, or managed care organizations.
• Experience interacting with members of the healthcare team.
• Strong computer proficiency and proven ability to quickly learn and navigate a variety of electronic software programs, including electronic medical records.
• Exceptional communication and interpersonal skills to build rapport with internal and external customers and stakeholders.
• Work at Home Requirements: Minimum download speed of 25 Mbps and an upload speed of 10 Mbps; wireless, wired cable or DSL connection is suggested.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Skills

• Critical thinking skills
• Health promotion
• Coaching
• Wellness
• Knowledge of community health and social service agencies and additional community resources

Location

• Remote

Work Type

• Remote
• Full-time

Experience Level

• Minimum 2 years of experience

Education Level

• Associate degree

Salary/Compensations

• $53,700 - $72,600 per year

Benefits

• Medical benefits
• Dental benefits
• Vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• Short-term disability
• Long-term disability
• Life insurance

About the Company

• Humana Inc. is a leading U.S. healthcare company.
• Through its Humana insurance services and its CenterWell healthcare services, it makes it easier for millions of people to achieve their best health – delivering the care and service they need, when they need it.
• These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity

• Humana does not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.
• Humana takes affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status.
• All employment decisions are based only on valid job requirements.