Humana·Edwardsville, Illinois
Assess and evaluate Medicaid members' needs to maintain optimal wellness through care planning and resource facilitation. Conduct home and facility visits to monitor progress and resolve barriers to effective care.
Humana Gold Plus Integrated is seeking Long-Term Services and Support (LTSS) Care Coordinators (Care Coach 1) in the state of Illinois to assess and evaluate members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families towards and facilitate interaction with resources appropriate for the care and wellbeing of members.
The LTSS Care Coordinator (Care Coach 1) employs a variety of strategies, approaches, and techniques to manage a member's health issues. The LTSS Care Coordinator (Care Coach 1) understands own work area professional concepts/standards, regulations, strategies, and operating standards. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.
Key Responsibilities
Visits Medicaid members in their homes, Assisted Living Facilities (ALFs), and/or Long-Term Care Facilities and other care settings – 75-90% local travel (see Additional Information section).
Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
Identifies and resolves barriers that hinder effective care.
Plans and implement interventions to meet care needs.
Coordinates services, monitors, and evaluates the case management plan against the member's personal goals.
Ensures the member progresses towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning.
Guides members/families towards resources appropriate for their care. Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member's care as appropriate and required by our comprehensive contract.
Required Qualifications: The Care Coordinator (Care Coach 1) must meet one (1) of the following
Workstyle: This is a Field position - Employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.
Travel: 75 - 90% field-based interactions with members and/or their families, community partners and care teams. May need to attend occasional onsite meetings in Humana's Schaumburg, IL office.
Mileage Reimbursement for Travel: Mileage reimbursement is provided for work-related travel from your home to your first work location of the day, between client or assignment locations during the workday and final work location back to home.
Work Schedule: Monday - Friday; 8:00 AM - 5:00 PM Central Standard Time (CST), with flexibility available. Additional hours may be required based on business needs.
Language Assessment Statement: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours: 40
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.
$53,700 - $72,600 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
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.
Market context
Behavioral health positions in Illinois often draw steady interest because employers look for licensed or graduate-prepared candidates who can work in clinical, community, or care-coordination settings. This role is competitive because the required background is specific—either a master’s degree in a human services field or an active Illinois RN license, with behavioral health experience preferred. Review the AI-summarized requirements and benefits here to save research time, then confirm your licensure, degree, and setting experience before applying.
