The 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 Care Coach 1 work assignments are often straightforward and of moderate complexity.
Scheduled Hours
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This is a remote position.
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The first 4 weeks of training will be from 8:30 AM to 5:00 PM EST.
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After training, the work hours are Monday-Friday from 10:00 am – 6:30 pm EST.
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No time off is permitted during the first month of training. The first 90 days following training are critical in building your foundation; therefore, planned or unplanned time away should be minimized as much as possible.
Key Responsibilities
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Conduct telephonic outreach (primarily via auto-dialer) to members with multiple chronic conditions and financial or functional barriers.
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Assess member needs through data review, structured assessments, and direct conversation to develop and manage individualized care plans.
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Coordinate services and connect members to appropriate clinical, community, and multidisciplinary resources to support optimal health outcomes. Ensure proper adherence to compliance.
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Identify and resolve barriers that impede effective care and member independence.
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Continuously monitor progress toward desired health outcomes and adjust care strategies as appropriate.
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Maintain strict adherence to compliance requirements within a highly regulated and highly visible program.
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Learn and navigate multiple computer systems simultaneously while engaging members in a fast-paced, structured environment with limited schedule flexibility.
Required Qualifications
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Associate degree in any course
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Minimum 2 years of experience in any direct adult patient care such as, but not limited to: long-term care, home and community-based services, hospital/facility setting, case management, managed care organizations
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Experience interacting with members of the healthcare team.
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Strong computer proficiency and proven ability to quickly learn and navigate a variety of electronic software programs, including electronic medical records.
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Exceptional communication and interpersonal skills to build rapport with internal and external customers and stakeholders.
Preferred Qualifications
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Bachelor's degree in an Allied Health Science.
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Experience working with elderly and/or chronically ill patients.
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Experience with Medicare and/or Medicaid patients.
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Experience conducting health assessments with patients.
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Experience assisting patients with health benefits and coordinating care.
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Ability to apply critical thinking skills.
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Experience with health promotion, coaching and wellness.
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Knowledge of community health and social service agencies and additional community resources.
Work at Home Requirements: 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 required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Florida Background Screening Requirements: Notice for candidates applying to this position from a Florida work location, including Florida home-based work location. This position is subject to Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse. For information about the screening process and requirements, visit: https://info.flclearinghouse.com.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$53,700 - $72,600 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve 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. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to 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. It is also the policy of Humana to take 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, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
