HumanaHU

Community Transition Coordinator

Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky, offering a wide range of insurance products and health and wellness services.

Humana

Employee count: 5000+

Salary: 59k-80k USD

United States only

Become a part of our caring community and help us put health first

Humana Gold Plus Integrated is seeking a Community Transition Coordinator to assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and families towards resources appropriate for the care and wellbeing of members. The position essential functions take lead on full case management and transition services to individuals identified by maximus and long-term care coordinators via assessments/referrals, which includes service planning, placement search, and all aspects of case coordination associated with achieving a successful transition from an unhoused living situation.

*** $2000 SIGN-ON BONUS for new associates! $2000 payable following 90 days employment. ***

Must reside in Cook County in the State of Illinois (preferably in or near Chicago Midway zip codes 60638, 60459, 60501, 60455, 60629, or 60534).

The Community Transition Coordinator provides long term care service intakes, case coordination, and transition services to eligible seniors and people with disabilities who are identified on a priority list, this list comes from maximus assessors who will identify and prioritize individuals in need of the Community Transition Coordinator’s dedicated support. This is a specialized position that will work closely with the shelter providers, CCUs, outreach, hospital/rehab social workers, DHS, HFS, MCOs, family/friend supports, long term care facilities, natural supports, and other community-based resources to help individuals access long term care service plans and housing supports.

The Community Transition Coordinator responsibilities are as follows:

  • Meets with prospective consumers and/or their families - provides thorough explanation of services, policies, and assistance available, performs comprehensive assessment of consumer functioning, resources, and needs, and assesses consumer’s ability to perform daily living activities, medical issues, and needs and develops an initial care plan.
  • Be present in the community – conducts outreach to locate and meet seniors/disabled population/members where they are in the community, including, but not limited to libraries, shelters, the street, and other agreed upon locations.
  • Ensures that all necessary forms are fully completed and provides explanation of applicant's rights and responsibilities.
  • Locates qualified providers locally and across the State of Illinois who can meet the consumers’ needs.
  • Enters consumer’s psychosocial assessment into state computer system and provides complete description of consumer’s functional status and care plan.
  • Performs needed assessments with seniors who meet the HUD definition of homeless, with a priority on those identified in Seniors by Name List case conferencing.
  • Maintains accurate records to ensure proper evaluation and documentation of services. Enters thorough, objective, and timely progress notes that capture the most pertinent information for each consumer contact.
  • Utilizes motivational interviewing to identify housing needs with individuals.
  • Provides advocacy and direct support services including crisis intervention and short-term counseling.
  • Helps to resolve problems or emergencies affecting the availability or quality of services and makes appropriate community referrals to support consumer well-being.
  • Remains current on other agencies, community resources, service organizations, and programs available in the area, and provides resource and referral support to consumers and partners.
  • Maintains up-to-date knowledge of a broad array of agency, state, and federal rules, regulations, policies, and procedures.
  • Acts as liaison between S&DS and community partners; establishes and maintains effective working relationships and promotes S&DS programs, as appropriate.
  • 75-90% travel in Chicago and surrounding areas but may need to travel all over state for transitions (see Additional Information section).


Use your skills to make an impact

Required Qualifications

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

  • Bachelor’s degree in social sciences, social work, human services, or a related field.
  • Unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly.
  • Licensed Professional Counselor (LPC).
  • Licensed Social Worker (LSW).

The Community Transition Coordinator (Care Coordinator) must meet ALL the following requirements:

  • Must reside in Cook County in the State of Illinois (preferably in or near Chicago Midway zip codes 60638, 60459, 60501, 60455, 60629, or 60534).
  • 1+ years of experience in health care and/or case management.
  • 1+ years of experience with Medicare & Medicaid recipients and/or long-term care and/or Home and Community based services and/or working with managed care organizations.
  • Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
  • Ability to use a variety of electronic information applications/software programs including electronic medical records.
  • Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
  • This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
  • This role is part of Humana’s Driver safety program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.

Work at Home Requirements

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided with a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Additional Information

  • Workstyle/Travel: This is a Field position that requires 75 - 90% travel in the field to visit members. Travel is considered Chicago and surrounding areas but may need to travel all over state for transitions.
  • Work Schedule: Monday – Friday, 8am - 5pm CST but open to a flexible work schedule. Possibility of working additional hours based on business needs.
  • Benefits: Benefits are effective on day 1. Full time Associates enjoy competitive pay and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more.....

Interview Format

As part of our hiring process, we will be using an exciting interview technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring leaders with an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to the next round of interviews.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$59,100 - $79,900 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.


About Us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

About the job

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Job type

Full Time

Experience level

Mid-level

Salary

Salary: 59k-80k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About Humana

Learn more about Humana and their company culture.

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Humana Inc. is dedicated to improving the health and well-being of the millions of people it serves. Our customers often navigate complex healthcare systems and face challenges in accessing affordable, high-quality care. That's why we are committed to putting health first, not just for our members, but also for our teammates and the broader communities we impact. We understand that true health encompasses more than just physical well-being; it includes emotional, social, and financial health. Therefore, we strive to offer personalized care from people who genuinely care, listening to our members' needs and creating solutions that help them achieve their best selves. Our approach is rooted in an integrated care delivery model that aims to simplify the healthcare experience, making it easier for individuals and families to get the right care at the right time.

Since our founding in 1961, initially as a nursing home company and later evolving into a leading health insurance provider, Humana has consistently adapted to meet the changing needs of the healthcare landscape. We specialize in government-sponsored programs, with a significant portion of our medical membership stemming from Medicare Advantage, Medicaid, and TRICARE. Beyond traditional insurance, Humana is increasingly focused on providing comprehensive healthcare services, including primary care, at-home care, and pharmacy benefit management through our CenterWell brand. We recognize that many of our customers, particularly seniors, are managing multiple chronic conditions. Our integrated care delivery model, which leverages both high-tech tools like data analytics and personalized, low-tech interactions such as in-home visits, allows us to predict, slow, and sometimes even prevent disease progression. We are deeply invested in the communities we serve, working to address health disparities and improve local health outcomes through initiatives like our Bold Goal, which aims to improve the health of the communities we serve by making it easier for people to achieve their best health.

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Humana hiring Community Transition Coordinator • Remote (Work from Home) | Himalayas