Care Coach – Stars Quality

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $53.7k - $72.6k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Humana

WebsiteLinkedInAll Job Openings

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.

📋 Description

• Evaluate member needs and coordinate care • Drive interventions supporting improved health outcomes, member experience, and quality performance • Collaborate with members, caregivers, providers, community organizations, and internal partners • Identify and resolve barriers to care • Close care gaps and promote adherence to treatment plans across Humana's Medicare Advantage populations • Engage members in Stars and quality initiatives, including Depression Screening and Follow-Up (DSF) and Follow-Up After Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (FMC) • Support multiple Stars programs and evolving quality improvement initiatives • Conduct proactive telephonic outreach using an autodialer and approved communication channels • Review data and complete structured assessments of clinical, financial, functional, and social needs • Educate members about preventive care • Connect members with healthcare, community, and social support resources • Collaborate with care managers, providers, and multidisciplinary partners • Document assessments, outreach, and outcomes accurately and timely • Follow program, regulatory, compliance, and documentation requirements • Navigate multiple computer systems in a fast-paced, structured environment • Adapt communication and workflow priorities for diverse populations and changing business needs

🎯 Requirements

• Associate degree in any field • At least two (2) years of direct adult patient care experience, such as long-term care, home- and community-based services, a hospital or facility setting, case management, or a managed care organization • Experience collaborating with members of a healthcare team • Strong computer proficiency • Ability to learn and navigate multiple software applications, including electronic medical records • Applicants who currently hold an RN, LPN, LVN, APRN, NP, LMSW, or LCSW license are not eligible for consideration • Strong communication and interpersonal skills • Strong organizational skills and attention to detail • Intermediate proficiency with Microsoft Office applications and healthcare documentation systems • Ability to work independently, manage competing priorities, and adapt quickly in a fast-paced environment • Self-provided internet service with at least 25 Mbps download speed and 10 Mbps upload speed • Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information • Florida applicants from a Florida home-based work location are subject to Florida Level 2 background screening • Preferred: Experience in a telephonic environment working with geriatric, vulnerable, and/or low-income populations • Preferred: Experience supporting Medicare, Medicaid, D-SNP, C-SNP, or other managed care populations • Preferred: Experience supporting quality improvement or Stars-related initiatives • Preferred: Experience conducting member outreach and engagement activities, including screening for depression symptoms and other barriers of care • Preferred: Knowledge of community resources and social determinants of health • Preferred: Experience working in a remote environment • Preferred: Experience motivating others to improve their health

🏖️ Benefits

• Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Remote work arrangement • Home office work setup with dedicated workspace • Occasional travel to Humana offices for training or meetings