Care Coordinator RN district 7

$71,100 - $97,800/Yr

Humana - Jeffersonville, IN

Full-time - Mid Level

Remote - Jeffersonville, IN

Insurance Carriers and Related Activities

About the position

The Care Coordinator 2 (Field Care Manager 2) at Humana Healthy Horizons in Indiana is responsible for assessing and evaluating members' needs to help them achieve optimal wellness. This role focuses on guiding members and their families towards appropriate resources for care and well-being, particularly for those enrolled in the Indiana Medicaid program, Indiana PathWays for Aging. The position emphasizes building trusting relationships with members to improve care coordination and health outcomes.

Responsibilities

• Employ various strategies to manage a member's physical, environmental, and psycho-social health issues.
• Identify and resolve barriers to effective care.
• Facilitate the development of a trusting relationship with each member.
• Coordinate all medical and non-medical services needed by members.
• Collaborate with the Service Coordinator, Transition Coordinator, and other care team staff to address member needs.
• Coordinate with Medicare payers, Medicare Advantage plans, and providers for members eligible for Medicare.
• Act as the primary point of contact for the Interdisciplinary Care Team (ICT) and coordinate with members and outside resources.

Requirements

• Must reside in Indiana.
• Licensed Registered Nurse (RN) in Indiana without restrictions.
• At least one year of experience in case management or similar healthcare services.
• Intermediate to advanced computer skills, including Microsoft Word, Excel, and Outlook.
• Exceptional communication and interpersonal skills.
• Proven critical thinking, organization, written and verbal communication, and problem-solving skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Experience with electronic medical records.

Nice-to-haves

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

Benefits

• Health Insurance begins on day one.
• 23 days of vacation with pay per year.
• Aggressive 401K program matching 125% of 6% after year one.