Care Coach 1 evaluating health needs and connecting Florida Medicaid members to services. Focused on promoting well-being through care coordination and home visits across various localities.
Responsibilities
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
Requirements
Bachelor's Degree with at least 2 years of relevant experience (Health Services, Social Work, Psychology)
Registered Nurse (RN), licensed in the state of Florida with 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
Case Worker with a minimum of 6 years of Health Services/Case Management Experience
Prior experience with Medicare & Medicaid recipients
Intermediate to advanced computer skills and experience with Microsoft Word, Excel and Outlook
AHCA Fingerprint Required.
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.
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
Ability to work Monday-Friday 8:30am-5:00pm
Benefits
Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
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