Care Coordinator

This position will support members within the 7A catchment area which includes Schaumburg, Evanston, Palatine, Skokie, Des Plaines, Arlington Heights, Hoffman Estates, and parts of northern Chicago.

The Care Coordinator responsibilities are as follows:

Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long-Term Care Facilities and other care settings – 75%-90% local travel.

Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.

Identify and resolve barriers that hinder effective care.

Plan and implement interventions to meet care needs.

Coordinate services, monitor, and evaluate the case management plan against the member's personal goals.

Ensure the patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with members, and active care planning.

Assess and evaluate enrollee's needs via telephonic and face to face assessments and evaluations, to coordinate services and address enrollee needs.

Assist enrollee to remediate immediate and acute gaps in care and access.

Assist enrollee with filing grievances and appeals.

Provide information to enrollee related to MCO requirements, services, and benefits.

Provide enrollee with information and/or referrals to community resources.

Guide 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.

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.