Custodial Prevention Specialist

🔥 3 minutes ago

🌽 Illinois – Remote

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💵 $59.3k - $80.9k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🦅 H1B Visa Sponsor

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Logo of Humana

Humana

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

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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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