
10,000+ employees
Founded 1961
đĽ Healthcare
đĄď¸ Insurance
âď¸ 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.
đĽ 0 minutes ago
đşđ¸ United States â Remote
đľ $53.7k - $72.6k / year
â° Full Time
đ˘ Junior
đĄ Mid-level
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10,000+ employees
Founded 1961
đĽ Healthcare
đĄď¸ Insurance
âď¸ 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.
⢠Administer ongoing long-term services and support (LTSS) assessments using person-centered thinking approaches ⢠Contact members telephonically or in person to establish goals and priorities ⢠Evaluate resources, develop plans of care, and identify LTSS providers and community partnerships ⢠Develop and modify service plans and involve applicable care-team members in care planning ⢠Support members with navigation of LTSS and environmental and social needs ⢠Help members and caregivers access long-term services, social, housing, educational, and other services ⢠Build trust and promote independence through collaborative relationships with Care Coordinators, members, and caregivers ⢠Identify transition opportunities and work with transition coordinators to support member choice ⢠Coordinate referrals for non-capitated services and capture all member services and natural supports ⢠Coordinate and consult with Humana-contracted providers regarding LTSS delivery ⢠Participate in interdisciplinary care team meetings ⢠Connect and refer members to community resources and third-party payers ⢠Assist members in maintaining Medicaid eligibility ⢠Collaborate with Medical Directors, Geriatricians, and Care Coordinators to ensure cohesive service delivery and positive member outcomes ⢠Meet members in their locations and spend time assessing needs and barriers
⢠Bachelor's degree in health and human services field ⢠2 or more years of related experience ⢠Proficiency with a variety of electronic information applications/software programs ⢠Must participate in Humana's tuberculosis (TB) screening program ⢠Passion for contributing to an organization focused on improving consumer experiences ⢠Valid state driver's license ⢠Personal vehicle liability insurance meeting the residing state's minimum limits or Humana's specified limits, whichever is higher ⢠Separate room with a locked door usable as a private home office ⢠Must reside in Blackford, Delaware, Grant, Henry, Jay, Madison, or Randolph County, Indiana ⢠Prior experience with Medicare and Medicaid recipients preferred ⢠Experience with electronic case note documentation and multiple computer applications preferred ⢠Experience with health promotion, coaching and wellness preferred ⢠Knowledge of community health and social service agencies and community resources preferred ⢠Home internet with at least 25 Mbps download and 10 Mbps upload speeds ⢠Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
⢠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 ⢠Home-based work arrangement ⢠Occasional travel to Humana offices for training or meetings
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