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Job Overview
Employment Type
Full-time
Compensation
Salary
Range $53,700.00 - $72,600.00
Work Schedule
Standard Hours
Benefits
Medical insurance
Dental Insurance
Vision Insurance
401(k) retirement plan
Paid Time Off
short-term disability
long-term disability
Life insurance
Paid parental leave
paid caregiver leave
Job Description
Humana Inc. (NYSE: HUM) is a leading healthcare company in the United States dedicated to improving the quality of life for millions of people. Through its insurance services and the CenterWell healthcare services network, Humana focuses on making healthcare easier to access and more personalized for its members. Their mission emphasizes delivering care and service when needed most, with particular attention to serving individuals with Medicare and Medicaid, military personnel, families, and broader communities. Humana’s approach integrates innovative healthcare solutions with compassionate, patient-centered care to achieve better health outcomes, reflecting a commitment to whole-person wellness. As a major player in... Show More
Job Requirements
- Prior experiences in health care and/or case management
- Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook
- Ability of critical thinking, organization, written and verbal communication and problem-solving skills
- Ability to manage multiple or competing priorities in a fast-paced environment
- Ability to use a variety of electronic information applications/software programs including electronic medical records
- Must reside in Muncie IN or surrounding communities
- Valid state driver's license
- Proof of personal vehicle liability insurance with at least $100,000/$300,000/$100,000 limits
- Access to a reliable vehicle
- Participation in Humana's Tuberculosis (TB) screening program as this is a patient-facing role
Job Qualifications
- Continuously employed as a care manager by an AAA since June 30, 2018
- Registered nurse, licensed practical nurse, or associate's degree in nursing with at least one year of experience serving the program population
- Bachelor's degree in social work, psychology, counseling, gerontology, nursing or health & human services with at least two years of experience
- Master's degree in social work, psychology, counseling, gerontology, nursing or health & human services with at least two years of experience
- Bachelor's degree in any field with a minimum of two years of full-time direct service experience with older adults or persons with disabilities including assessment, care plan development, and monitoring
- Associate's degree in any field with a minimum of four years of full-time direct service experience with older adults or persons with disabilities including assessment, care plan development, and monitoring
Job Duties
- Administer ongoing long-term services and support (LTSS) related assessments through person-centered thinking approaches
- Contact members both telephonically and in-person to establish goals and priorities
- Evaluate resources, develop a plan of care, and identify LTSS providers and community partnerships
- Develop and modify service plans involving applicable members of the care team
- Support members navigating LTSS and related environmental and social needs
- Build trust and promote independence through collaboration with care coordinators, members, and caregivers
- Identify transition opportunities and support member choice
- Coordinate referrals for non-capitated services and capture all services members are receiving
- Consult with Humana-contracted providers regarding LTSS delivery
- Participate in interdisciplinary care team meetings
- Connect and refer members to community resources and third-party payers
- Assist members in maintaining Medicaid eligibility
- Collaborate with Medical Director, Geriatrician, and Care Coordinator to ensure cohesive service delivery and positive outcomes
Job Criteria
Experience
Mid Level (3-7 years)
Job Location
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