Care Coach (Long-Term Services & Support)

About this role

Become a part of our caring community   Humana Healthy Horizons in Virginia is looking for Care Coaches (Care Coach 1) who will assess and evaluate members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members. The Care Coach 1 work assignments are often straightforward and of moderate complexity.

This role involves meeting members in the field at their home, Nursing Facility (NF) or location of the member's choice, spending quality time assessing their goals, needs and barriers and then connecting our members with quality services to promote their ultimate well-being and drive person centered health outcomes. • Provides specialized support for Members receiving Long Term Services and Support (LTSS), with a focus on addressing health related social needs (HRSNs), providing psychosocial support, and ensuring LTSS meets the member's service needs. • May support members residing in NFs by building relationships with facility staff, advocating for member care (including access to needed behavioral health services), and assessing the member's desire and ability to return to the community. • Contacts members telephonically and face-to-face to establish goals and priorities, evaluate resources, develop plans of care, and identify LTSS providers and community partnerships to provide a combination of services and supports that best meet the needs and goals of member and caregiver through person centered thinking approaches. • Develops and modifies Individual Service Plan and involve applicable members of the care team in care planning (Informal caregiver coach, PCP, etc.). • Supports members through navigation of their LTSS and related environmental and social needs. • Utilizes available information pertaining to member to prevent the need for administration of duplicative assessments. • Focuses on supporting members and/or caregivers utilizing an interdisciplinary approach in accessing long term services and support, social, housing, educational and other services, regardless of funding sources to meet their needs. • Makes recommendations for appropriate Home and Community-Based Services to enable member's independence in the community. • Facilitates interactions with other payer sources, providers, and Interdisciplinary Care Teams. • Educates members in maintaining Medicaid eligibility. • Assists with entry of annual Level of Care assessment into state portal.

Use your skills to make an impact   Required Qualifications • Must reside in the Central region of Virginia (Franklin City, Southampton, Sussex, Dinwiddie or surrounding counties) • Bachelor's degree in health or human services field OR an active LPN license in the Commonwealth of Virginia without disciplinary action. • Two (2) years of prior experience in health care and/or case management. • One (1) one year of experience working directly with individuals who meet the Cardinal Care Priority Population criteria (adults, pediatrics populations at risk for chronic medical conditions & high social needs) . • Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook. • Ability to use a variety of electronic information applications/software programs including electronic medical records. • Exceptional oral and written communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders. • Proven ability of critical thinking, organization and problem- solving skills. • This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. • Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families. • This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Preferred Qualifications • Nursing home diversion or long-term care case management experience. • Experience with Medicare & Medicaid recipients. • Experience with electronic case note documentation and documenting in multiple computer applications/systems. • Experience working with complex health population. • Experience with health promotion, coaching and wellness. • Experience working with a Waiver Program. • Knowledge of community health and social service agencies and additional community resources. • Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance. See "Additional Information" section for more information.

Additional Information • Workstyle: Field - This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes. • Travel: 50 - 75% field interactions with members, and their families and providers. May need to attend onsite meetings occasionally in Humana Healthy Horizons office in Glen Allen, VA. • Workdays and Hours: Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST). • Language Assessment Statement: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

Work at Home Requirements: To ensure Home or Hybrid Home/Office empl

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