Care Coach Indianapolis Metro Area

📋 Description

• • As a Care Coach (Service Coordinator 1) with Humana, you will be at the forefront of our mission to put health first, directly impacting the lives of members within the Indianapolis Metro Area. This remote role is crucial in assessing and evaluating member needs to foster optimal wellness and independence. You will act as a vital bridge, connecting individuals and their families with the appropriate resources and services to support their overall well-being and achieve positive health outcomes.
• • Your primary responsibility will involve conducting thorough, person-centered assessments, both telephonically and in-person, to understand the unique circumstances, challenges, and goals of each member. This deep dive into their needs will inform the development of a comprehensive and individualized plan of care.
• • You will be instrumental in developing and continuously modifying Service Plans, ensuring they are tailored to meet the member's evolving requirements. This process involves close collaboration with various stakeholders, including informal caregivers, Primary Care Physicians (PCPs), and other members of the care team, to create a cohesive support network.
• • A key aspect of your role will be to empower members and their caregivers by guiding them through the complexities of Long-Term Services and Supports (LTSS). You will help them navigate environmental and social needs, ensuring they have access to a comprehensive array of services, regardless of funding sources.
• • Building trust and fostering independence are central to this role. You will cultivate collaborative relationships with members, caregivers, and internal Humana teams, acting as a dedicated advocate and support system.
• • You will proactively identify opportunities for members to transition to more suitable care settings or services, working closely with transition coordinators to uphold member choice and preferences.
• • Coordination with other Care Coordinators is essential to ensure seamless service delivery. You will manage referrals for non-capitated services and meticulously document all services a member is receiving, including informal supports, to maintain a holistic view of their care.
• • Collaboration extends to Humana-contracted providers, where you will consult regarding the delivery of LTSS to ensure quality and alignment with member goals.
• • Active participation in interdisciplinary Care Team meetings (ICT) is expected, contributing your insights and expertise to collective decision-making and care planning.
• • You will serve as a key connector, referring members to essential community resources and third-party payers, thereby expanding their access to support systems.
• • Assisting members in maintaining their Medicaid eligibility is a critical function, ensuring continuity of care and access to necessary benefits.
• • You will work in close partnership with the Medical Director, Geriatricians, and other Care Coordinators as needed, ensuring a cohesive, holistic approach to service delivery that prioritizes positive member outcomes.
• • This role demands a proactive and empathetic approach, requiring you to be resourceful, organized, and adept at problem-solving. You will manage multiple priorities in a dynamic environment, always with the member's best interest at heart.
• • The ability to utilize various electronic information applications and software programs, including electronic medical records, is fundamental to efficiently managing member information and care plans.
• • As this role involves direct interaction with members in their homes, you must reside within the Indianapolis Metro Area and possess a valid driver's license, reliable transportation, and appropriate vehicle insurance, adhering to Humana's Driver Safety program.
• • You will also be part of Humana at Home's Tuberculosis (TB) screening program, as this is a patient-facing role.
• • This position offers the opportunity to make a tangible difference in the lives of individuals seeking to improve their health and well-being, contributing to Humana's overarching commitment to putting health first.