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RN or MSW Transitions Care Coordinator- Roanoke, VA - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Roanoke, Virginia |
About this job
Role: Transition/Care Coordinator RN or MSW
Assignment: Humana at Home/ Medicaid
Location: Roanoke, VA (Work at home)
Humana's dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and providers in a nontraditional environment where your knowledge will make a difference. Our associates know their work is vitally important; we strive to ensure we provide perfect service with one-on-one member interactions as a coach, personal nurse, or clinical advisor. Humana's Perfect Service means getting the basics done right, delivering value and quality, providing guidance on needs, and being engaged with our members. We want to help our members make the right choices to live life fully. We begin that process by connecting our members with an associate who cares.
Assignment Capsule
As a Transition/Care Coordinator you will engage our members to develop lifelong well-being and health. Humana is seeking a Transition/Care Coordinator who will communicate regularly and collaborate with local government entities, service providers, and advocacy groups to be an active member of the network of services and support systems in the community
The Transition/Care Coordinator who will identify and coordinate resources to assist members in the transition back to living in the community, who are able to live as independently as possible. The Transition/Care Coordinator will visit Medicaid members in their home, Assisted Living Facilities, and/or Long Term Care Facilities - 90% local travel. The Long Term Service Support (LTSS) program offers person-centered care planning, service coordination, and support services for members receiving long-term care and home and community based services. You will:
Work with identified members to assess their care needs
Facilitate, promote, and advocate for the member's ongoing self-sufficiency and independence
Educate members within a nursing facility on home and community-based alternatives and assess the member's potential for and interest in transitioning from the facility to community.
Facilitate and execute specific interventions to ensure the member's health, safety, and welfare
Organize, integrate, and modify resources needed to establish the plan of care for each member
Be responsible for sustaining the natural supports of the members which includes assessing of their caregiver support.
Provide resource information and education regarding the community-based needs of our members
Interview all prospective members who have indicated interest in returning to the community
Make referrals to available resources in the community
Develop strong linkages with community-based health care providers to promote quality and availability of services
Be available to members, family members/informal supports and legal guardians to answer questions
Support a member's right to be the decision-maker regarding life goals, activities, services and providers
Key Competencies
Builds Trust : Consistently models and inspires high levels of integrity, lives up to commitments, and takes responsibility for the impact of one's actions.
Accountability : Meets established expectations and takes responsibility for achieving results; encourages others to do the same.
Executes for Results : Effectively leverages resources to create exceptional outcomes, embraces change, and constructively resolves barriers and constraints.
Collaborates : Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success first.
Customer Focus : Connects meaningfully with customers to build emotional engagement and customer advocacy. Simplifies complexity and integrates internal efforts to deliver an optimal customer experience. Role Essentials:
Case Managers shall meet the following qualifications:
Role Essentials
MSW and RN's must have 3 years of experience in home case/care management. RN must be licensed with no restrictions in the state of Virginia.
Knowledge of community health and social service agencies and additional community resources
Ability to travel to within 30 to 50 miles
2 years of clinical experience preferably in an acute care, skilled or rehabilitation clinical setting
Exceptional communication and interpersonal skills with the ability to quickly build rapport
Ability to work with minimal supervision within the role and scope
Ability to use a variety of electronic information applications/software programs including electronic medical records
Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel
Excellent keyboard and web navigation skills
Possession of valid state driver's license in the state of Virginia
Must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while you work
Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems if 5Mx1M.
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Valid driver's license, car insurance, and access to an automobile.
This role is a part of Humana's Driver Safety program and therefore requires and individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits.
Role Desirables
Previous care coordination experience to members receiving long-term care and/or home and community based services
MSW licensed in the state of Virginia
Certified Case Management Certification
Previous managed care and/or long-term care experience
Prior experience with Medicaid or Medicare recipients
Experience working with the geriatric population
Experience with health promotion, coaching and wellness
Knowledge of community health and social service agencies and additional community resources
Bilingual is a plus
Health Plan experience
Previous experience in utilization management, discharge planning and/or home health or rehab
Reporting Relationships
You will report to a Frontline Manager. This area is under the leadership of the Director & VP of Care Management Operations
Additional Information
Humana is an organization with careers that change lives---including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you're ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.
Assignment: Humana at Home/ Medicaid
Location: Roanoke, VA (Work at home)
Humana's dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and providers in a nontraditional environment where your knowledge will make a difference. Our associates know their work is vitally important; we strive to ensure we provide perfect service with one-on-one member interactions as a coach, personal nurse, or clinical advisor. Humana's Perfect Service means getting the basics done right, delivering value and quality, providing guidance on needs, and being engaged with our members. We want to help our members make the right choices to live life fully. We begin that process by connecting our members with an associate who cares.
Assignment Capsule
As a Transition/Care Coordinator you will engage our members to develop lifelong well-being and health. Humana is seeking a Transition/Care Coordinator who will communicate regularly and collaborate with local government entities, service providers, and advocacy groups to be an active member of the network of services and support systems in the community
The Transition/Care Coordinator who will identify and coordinate resources to assist members in the transition back to living in the community, who are able to live as independently as possible. The Transition/Care Coordinator will visit Medicaid members in their home, Assisted Living Facilities, and/or Long Term Care Facilities - 90% local travel. The Long Term Service Support (LTSS) program offers person-centered care planning, service coordination, and support services for members receiving long-term care and home and community based services. You will:
Work with identified members to assess their care needs
Facilitate, promote, and advocate for the member's ongoing self-sufficiency and independence
Educate members within a nursing facility on home and community-based alternatives and assess the member's potential for and interest in transitioning from the facility to community.
Facilitate and execute specific interventions to ensure the member's health, safety, and welfare
Organize, integrate, and modify resources needed to establish the plan of care for each member
Be responsible for sustaining the natural supports of the members which includes assessing of their caregiver support.
Provide resource information and education regarding the community-based needs of our members
Interview all prospective members who have indicated interest in returning to the community
Make referrals to available resources in the community
Develop strong linkages with community-based health care providers to promote quality and availability of services
Be available to members, family members/informal supports and legal guardians to answer questions
Support a member's right to be the decision-maker regarding life goals, activities, services and providers
Key Competencies
Builds Trust : Consistently models and inspires high levels of integrity, lives up to commitments, and takes responsibility for the impact of one's actions.
Accountability : Meets established expectations and takes responsibility for achieving results; encourages others to do the same.
Executes for Results : Effectively leverages resources to create exceptional outcomes, embraces change, and constructively resolves barriers and constraints.
Collaborates : Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success first.
Customer Focus : Connects meaningfully with customers to build emotional engagement and customer advocacy. Simplifies complexity and integrates internal efforts to deliver an optimal customer experience. Role Essentials:
Case Managers shall meet the following qualifications:
Role Essentials
MSW and RN's must have 3 years of experience in home case/care management. RN must be licensed with no restrictions in the state of Virginia.
Knowledge of community health and social service agencies and additional community resources
Ability to travel to within 30 to 50 miles
2 years of clinical experience preferably in an acute care, skilled or rehabilitation clinical setting
Exceptional communication and interpersonal skills with the ability to quickly build rapport
Ability to work with minimal supervision within the role and scope
Ability to use a variety of electronic information applications/software programs including electronic medical records
Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel
Excellent keyboard and web navigation skills
Possession of valid state driver's license in the state of Virginia
Must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while you work
Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems if 5Mx1M.
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Valid driver's license, car insurance, and access to an automobile.
This role is a part of Humana's Driver Safety program and therefore requires and individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits.
Role Desirables
Previous care coordination experience to members receiving long-term care and/or home and community based services
MSW licensed in the state of Virginia
Certified Case Management Certification
Previous managed care and/or long-term care experience
Prior experience with Medicaid or Medicare recipients
Experience working with the geriatric population
Experience with health promotion, coaching and wellness
Knowledge of community health and social service agencies and additional community resources
Bilingual is a plus
Health Plan experience
Previous experience in utilization management, discharge planning and/or home health or rehab
Reporting Relationships
You will report to a Frontline Manager. This area is under the leadership of the Director & VP of Care Management Operations
Additional Information
Humana is an organization with careers that change lives---including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you're ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.
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