Healthcare Case Manager

7 days ago


Delray Beach, Florida, United States Humana Full time
About the Role

As a Care Coordinator - Health Services Specialist at Humana, you will play a vital role in helping our members achieve their best health. Your primary responsibility will be to assess and evaluate the needs of our members, developing personalized care plans to ensure they receive the necessary resources and support.

Key Responsibilities
  • Visit members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities to assess their needs and develop care plans
  • Ensure members receive services in the least restrictive setting to achieve optimal well-being
  • Plan and implement interventions to meet member needs
  • Coordinate services and monitor and evaluate the case management plan against member goals
  • Guide members and families towards resources appropriate for their care
Requirements
  • Bachelor's Degree with at least 2 years of relevant experience (Health Services, Social Work, Psychology)
  • Registered Nurse (RN), licensed in the state of Florida with at least 2 years of relevant experience
  • Licensed Practical Nurse (LPN), licensed in the state of Florida, with at least 4 years of relevant experience
  • Case Worker with a minimum of 6 years of Health Services/Case Management Experience
  • Prior experience with Medicare & Medicaid recipients
  • Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook
Preferred Qualifications
  • Bilingual English/Spanish with ability to pass a Language Proficiency Exam
  • Community Health Worker
  • Prior nursing home diversion or long term care case management experience
  • Experience with electronic case note documentation and documenting in multiple computer applications/systems
  • Experience working with geriatric population
  • Experience with health promotion, coaching, and wellness
  • Knowledge of community health and social service agencies and additional community resources
Benefits

Humana offers a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, time off, short-term and long-term disability, life insurance, and more.



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