Humana
Humana
Humana is a healthcare and health insurance company focused on improving health outcomes for individuals, communities, and the broader healthcare system. Its work includes Medicare Advantage HMO, PPO, and PFFS plans serving populations such as seniors and military members. Humana also emphasizes an inclusive workplace built around belonging, mutual respect, and opportunities for employees to contribute to the company’s health-focused mission.

Care Coordinator – Illinois Medicaid (Hybrid)

Humana Care Coordinator supporting Illinois Medicaid members through assessments, personalized care planning, and coordinated services. The role includes local field visits across homes and other care settings.

Description

  • Support Humana’s Illinois HealthChoice Medicaid Managed Care program
  • Assess members’ needs through telephone and face-to-face evaluations
  • Create individualized care plans
  • Visit Medicaid members in homes, assisted living facilities, long-term care facilities, and other care environments
  • Spend 75%–90% of working time traveling locally in the field
  • Help members receive care in the least restrictive setting
  • Identify and address obstacles to effective care
  • Design and carry out care interventions
  • Coordinate services and review case management plans against members’ personal goals
  • Track patient care and progress using assessments, data, conversations, and active care planning
  • Address immediate and acute gaps in care and access
  • Help enrollees navigate grievances and appeals
  • Explain managed care organization requirements, services, and benefits
  • Connect members with community resources through information and referrals
  • Help members and families access appropriate care resources
  • Coordinate communication among payers, providers, interdisciplinary teams, and other care participants
  • Report to the Manager, Care Management
  • Handle MLTSS or LTSS assignments as business needs require

Requirements

  • Bachelor’s degree in social sciences, social work, human services, or a related field; or an unrestricted Illinois LPN license plus one year of experience conducting comprehensive assessments and providing formal services to older adults; or an LPC; or an LSW
  • Must live in Illinois
  • At least one year of experience in healthcare and/or case management
  • At least one year of experience working with Medicare and Medicaid recipients, long-term care, Home and Community Based Services, and/or managed care organizations
  • Intermediate to advanced computer proficiency
  • Experience with Microsoft Word, Excel, and Outlook
  • Experience using electronic information systems, including electronic medical record software
  • Valid state driver’s license
  • Personal vehicle liability insurance that meets applicable requirements
  • TB screening is required if selected
  • Availability Monday through Friday, 8 a.m. to 5 p.m. CST, with flexibility and potential additional hours
  • A dedicated, interruption-free workspace is required to protect member PHI and HIPAA information
  • Home internet service with minimum speeds of 25 Mbps download and 10 Mbps upload

Benefits

  • Medical coverage
  • Dental coverage
  • Vision coverage
  • 401(k) retirement savings plan
  • Paid time off
  • Company holidays
  • Personal holidays
  • Paid parental leave
  • Paid caregiver leave
  • Short-term disability coverage
  • Long-term disability coverage
  • Life insurance
  • Flexible scheduling
  • Remote work
  • Home-based or hybrid home/office work options
  • Occasional travel to Humana offices for training or meetings

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