
10,000+ employees
Founded 1961
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
🔥 16 hours ago
🌴 South Carolina – Remote
đź’µ $59.3k - $80.9k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
🦅 H1B Visa Sponsor
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10,000+ employees
Founded 1961
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
• Conduct telephonic and face-to-face assessments of members' health, functional, environmental, psychosocial, and support needs • Develop and maintain individualized, member-centered care plans • Plan and implement interventions, coordinate services, and monitor progress • Identify and resolve barriers to care, engagement, transitions, and desired outcomes • Guide members and families to clinical, community, social, and payer resources • Facilitate collaboration with providers, interdisciplinary teams, and others involved in members' care • Support safe and effective transitions across care settings • Visit members in homes, assisted living facilities, long-term care facilities, and other care or community settings throughout South Carolina • Document assessments, care plans, interventions, interactions, referrals, and outcomes accurately and timely • Apply independent judgment and adapt work methods to changing business needs • Report to the Manager, Care Management • Travel at least 50% regionally for face-to-face meetings and field-based interactions
• Must reside in South Carolina • Bachelor's degree in a health and human services field • Two or more years of relevant experience in care coordination, case management, health and human services, or a related field • Experience assessing needs, developing service or care plans, coordinating resources, and documenting member interactions and outcomes • Intermediate to advanced proficiency with Microsoft Word, Excel, and Outlook • Strong verbal and written communication, organization, critical-thinking, and problem-solving skills • Ability to manage varied assignments, meet tight deadlines, work independently with minimal direction, and adapt to changing priorities • Ability to travel to meet South Carolina Medicaid members in homes, assisted living facilities, long-term care facilities, and other care or community settings • Required TB screening • Dedicated home office with a lockable door to maintain privacy and protect member information • Preferred: Master's degree in a health and human services field • Preferred: Applicable state license in the candidate's field of study • Preferred: Certified Case Manager credential • Preferred: Experience with InterQual or MCG guidelines • Preferred: Experience supporting Medicare or Medicaid populations • Preferred: Experience with electronic case-note documentation and multiple computer applications or systems • Preferred: Experience with health promotion, coaching, wellness, community health, social service agencies, and community resources
• 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 • Dedicated home office with a lockable door for privacy and PHI/HIPAA protection • Remote, field-based work arrangement • Training or meeting travel opportunities
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