Transition Coordinator
Work at Home - Louisiana, United States
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
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Use your skills to make an impact
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 one (1) year experience in working with Behavioral Health
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
Preferred Qualifications
- Health Plan experience
- Fluent in Spanish, French Creole, or Vietnamese
- Experience working with Medicare, Medicaid and dual-eligible populations
- Experience with health promotion, coaching and wellness.
- Knowledge of community health and social service agencies and additional community resources.
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
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
- Satellite, cellular and microwave connection can be used only if approved by leadership.
- Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Humana will provide Home or Hybrid Home/Office employees 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
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)
Interview Format
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay 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.
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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
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California Dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Illinois Montana Must work from home Occasional travel Remote position South Dakota Specific states for internet reimbursement Work-At-Home Work-At-Home Requirements Work from a dedicated space Work from a dedicated space lacking ongoing interruptions Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Work from Home in the state of California, Illinois, Montana, or South Dakota Workstyle
Benefits/Perks401k retirement 401k Retirement Savings Caring community Coaching Collaboration Competitive benefits Dental Disability Healthcare decisions Health first Holidays Internet expense reimbursement Life Life Insurance Medical Occasional travel Paid parental and caregiver leave Paid Time Off Parental and Caregiver Leave Personal holidays Remote position Smart healthcare decisions Support whole-person well-being Telephone equipment provided Time off Vision Vision Benefits Volunteer time Volunteer time off Whole-person well-being Work-At-Home Work From Home
Tasks- Advocate for self-sufficiency
- Assess member needs
- Coaching
- Collaboration
- Communication
- Facilitate care transitions
- Facilitate interaction with resources
- Oversee discharge planning
- Planning
- Training
Advanced Computer Behavioral health BI Business Care management Coaching Collaboration Communication Community Health Community Resources Compensation Computer Consumer Experiences Dental Discharge planning Education Electronic Information Applications Electronic Medical Records Ethics Excel Health care Healthcare Healthcare services Health Plan Experience Health promotion HIPAA HireVue Human services Insurance Interpersonal Interviewing IT Leadership Life Insurance Management Medicaid Medical Records Medicare Microsoft Microsoft Excel Microsoft Outlook Microsoft Word Organization Outlook Patient Education Planning Policy Recruitment Social service agencies Social services Social Work Software Spanish Supervision Support Technology Training Travel Vision Wellness Word
Experience2 years
EducationAssociate Bachelor Bachelor's degree Behavioral health Business Communication Education Healthcare Health promotion Higher Human Services IT Licensed practical nurse LPN Management Related Field Social Sciences Social Work
Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9