Custodial Prevention Specialist

🕒 il y a 19 jours

🌽 Illinois – Distant

infoinfo

💵 $59 300 - $80 900 / an

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Humana

Humana

10 000+ employés

Fondée en 1961

🏥 Santé

🛡️ Assurance

⚕️ Assurance santé

Healthcare • Insurance • Healthcare Insurance

Humana est une entreprise de soins de santé dédiée à avoir un impact positif sur la santé des individus, des communautés et du système de santé dans son ensemble. En mettant la santé au premier plan, Humana sert une large gamme de populations diverses, y compris les seniors et les militaires, en proposant des plans Medicare Advantage HMO, PPO et PFFS. Humana s'engage à favoriser une culture d'appartenance et de respect mutuel, offrant des avantages compétitifs et flexibles pour assurer la sécurité financière de ses employés et de leurs familles. L'entreprise est fière de créer un environnement de travail inclusif où chacun a l'opportunité de réussir.

Description

• Work one-on-one with members to create personalized care plans and coordinate services • Assess members' goals, needs, barriers, resources, and ability to return to the community • Provide specialized support to members receiving Long Term Services and Support (LTSS) • Address health-related social needs and provide psychosocial support • Support members residing in nursing facilities by building relationships with facility staff and advocating for care • Contact members telephonically and face-to-face to establish goals, evaluate resources, develop plans of care, and identify providers and community partnerships • Support members and caregivers in accessing LTSS, social, housing, educational, and other services • Develop and modify Individual Service Plans and involve relevant care team members • Navigate LTSS and related environmental and social needs • Use available member information to prevent duplicative assessments • Recommend Home and Community-Based Services (HCBS) to support member independence • Facilitate interactions with payers, providers, and interdisciplinary care teams • Educate members on maintaining Medicaid eligibility • Enter annual Level of Care assessments into the state portal • Travel 75–90% in the field to visit members

🎯 Exigences

• Must reside in the state of Illinois • Bachelor's degree in social sciences, social work, human services, or a related field • Two (2) years of experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services (HCBS), or managed care organizations • One (1) or more years of professional experience working with members in custodial and transitional care • Experience using electronic information applications/software programs, including electronic medical records • Ability to travel in the region to meet face-to-face with members, families, community partners, and care teams • Valid state driver's license • Personal vehicle liability insurance meeting required limits • Ability to work Monday–Friday, 8:00 AM–5:00 PM Central Standard Time, with flexibility • Ability to complete TB screening if selected

🏖️ Avantages

• Bonus incentive plan based on company and/or individual performance • Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Flexible work schedule • Self-provided work-from-home internet service • Dedicated workspace for protecting member PHI/HIPAA information

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