Humana

Care Coordinator - CenterWell - Las Vegas, NV - WAH Las Vegas Only

Posted on: 9 Apr 2021

Las Vegas, NV

Job Description

Description

CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, Missouri, Nevada, North Carolina, South Carolina and Texas. CenterWell Senior Primary Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience. CenterWell Senior Primary Care has experience in both the treatment and management of most chronic and acute-care conditions. The practices also provide health education and value-added, well-being services at the centers and around their neighborhoods to help both patients and community members improve their health.

At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.

Responsibilities

Humana's Care Delivery Organization, CenterWell Senior Primary Care, is seeking a Care Coordinator who contributes to administration of care management. This role is a key resource and member of the Ancillary Care team. The Care Coordinator provides individualized assistance to patients and is often the first point of contact before engaging with other Ancillary Care team members. The main responsibilities of the role are:

* Review and triage internal referrals for appropriate Ancillary Care team resources and care management program placement
* Completes intake assessment to identify appropriate resource or program placement
* Follows assigned patients to ensure progressing towards desired outcomes and engages the PCP and/or Ancillary Care team members as appropriate
* Manage short term and low acuity care management program caseload of patients which include coordination of care, patient education, identification of barriers, and coordinate with other team members as identified
* Assist RN Care Coaches with task management and support patient care plan goals
* Review care management program tasks and care alerts for the Ancillary Care team and create necessary tasks and/or addresses
* Identify and address patient barriers to care by utilizing local, state or federal resources and/or referral for Ancillary Care team support
* Provides care coordination for identified critical resources and helps navigate and educate on health plan benefits and/or resources
* Provides general health/disease education information and/or supports educational classes related to self-management skills
* Facilitate and schedule patient appointments with other care team members and PCP as appropriate
* Provide support and/or participate in practice level ITMs and huddles with various levels of team members and leaders to improve patient outcomes

Required Qualifications

* Clinical related or healthcare related field
* Ability to multi-task and work in a fast paced environment with changing priorities
* Effectively meet and exceed customer needs; build productive relationships with physicians, internal customers, and takes responsibility for customer loyalty and satisfaction
* Work effectively and cooperatively with other members of the CDO Team; establishing and maintaining good working relationships
* Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas
* Follows established guidelines and procedures
* Demonstrate interpersonal/verbal communication skills

Preferred Qualifications

* MA, LPN, Associate or Bachelors degree in relevant field or equivalent work experience
* Excellent time management skills
* Proficiency with EHRs, or other health care related software platforms
* High degree of independence, flexibility, initiative and commitment

Additional Information:

Interview Format:

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire Text to enhance our hiring and decision-making ability. Modern Hire Text allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire text interview. In this interview, you will read to a set of interview questions and you will provide text responses to each question. You should anticipate this interview to take about 15 minutes. Your text interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humanas secure website.

CenterWell Senior Primary Care is more than an equal opportunity employer, CenterWell's dedication to promoting diversity, multiculturalism, and inclusion is at the heart of what we do in all of our CenterWell roles. Diversity is more than a commitment to us, it is the foundation of what we do. We are fully focused on diversity of race, gender, sexual orientation, religion, ethnicity, national origin and all of the other fascinating characteristics that make us each uniquely wonderful.

Scheduled Weekly Hours

40

Humana

Louisville, KY

Humana Inc., together with its subsidiaries, operates as a health and well-being company in the United States. The company offers medical and supplemental benefit plans to individuals. It also has contract with Centers for Medicare and Medicaid Services to administer the Limited Income Newly Eligible Transition prescription drug plan program; and contracts with various states to provide Medicaid, dual eligible, and long-term support services benefits.

In addition, the company provides commercial fully-insured medical and specialty health insurance benefits comprising dental, vision, and other supplemental health and voluntary insurance benefits; financial protection products; and administrative services only products to individuals and employer groups, as well as military services, such as TRICARE South Region contract.

Further, it offers pharmacy solutions, provider services, predictive modeling and informatics services, and clinical care services, such as home health and other services to its health plan members, as well as to third parties. As of December 31, 2018, the company had approximately 17 million members in medical benefit plans, as well as approximately 6 million members in specialty products. Humana Inc. was founded in 1961 and is headquartered in Louisville, Kentucky.

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