Transition Coordinator - Remote LA

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Description

The Transition Coordinator (Care Coach 1) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Coach 1 work assignments are often straightforward and of moderate complexity.

Responsibilities

The Transition Coordinator (Care Coach 1) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Transitions Coordinator:


Focuses on triaging cases telephonically throughout the state
Facilitates, promotes and advocates for the enrollees' ongoing self-sufficiency and independence.
Oversee member transition and discharge planning activities who are between health care settings and/or new to the plan
Actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team, facilities, and enrollees and/or the enrollees' representatives
employs a variety of strategies, approaches, and techniques to manage a member's health issues


Required Qualifications

The Transition Coordinator must meet one (1) of the following requirements:


Bachelor's degree in social sciences, social work, human services, or a related field with - Two (2) years of hospital and/or Medicare/Medicaid Program experience OR
Unrestricted Licensed Practical Nurse (LPN) in the state of Louisiana with Two (2) years' hospital and/or Medicare/Medicaid Program experience


The Transition Coordinator must meet all of the following requirements:


Minimum two (2) years' experience with care management, discharge planning and/or patient education
Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel
Ability to use a variety of electronic information applications/software programs including electronic medical records
Exceptional communication and interpersonal skills with the ability to quickly build rapport
Ability to work with minimal supervision within the role and scope
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.


Preferred Qualifications


Case Management Certification (CCM)
Experience working with Medicare, Medicaid and dual-eligible populations
Health Plan experience
Fluent in Spanish, French Creole, or Vietnamese


Workstyle: Telephonic/Work at home

Hours: Must be able to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM CST, over-time may be requested to meet business needs.

Work-At-Home Requirements


Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
Satellite and Wireless Internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information


Additional Information:

Section 1121 of the Louisiana Code of Governmental Ethics states that current or former agency heads or elected officials, board or commission members or public employees of the Louisiana Health Department (LDH) who work directly with LDH's Medicaid Division cannot be considered for this opportunity. A separation of two (2) or more years from LDH is required for consideration. For more information please visit: Louisiana Board of Ethics (la.gov) (****opinion)

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Scheduled Weekly Hours

40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ****

Company info

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