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Assess and evaluate member needs to achieve optimal wellness by guiding them toward appropriate resources. Manage members' physical, environmental, and psycho-social health issues through various strategies.
Responsibilities
- Identify and resolve barriers that hinder effective care
- Monitor patient care through assessments and evaluations to ensure member progression towards desired outcomes
- Create plans of care
- Communicate with internal and external stakeholders
- Make decisions regarding own work methods, requiring minimal direction
- Visit Medicaid members in their homes, Supportive Living Facilities, Long-Term Care Facilities, and other care settings
Requirements
- Must reside within specified Illinois counties/ZIP codes
- Valid state driver's license and proof of personal vehicle liability insurance
- Knowledge of community health and social service agencies and community resources
- Exceptional communication and interpersonal skills
- Ability to use electronic information applications/software programs including electronic medical records
- Intermediate to Advanced computer skills with Microsoft Word, Outlook, and Excel
Qualifications
- Clinical nursing experience required (hospital, acute care, or home health)
Nice to Have
- Bachelor of Science in Nursing (BSN)
- 2+ years of experience in in-home case/care management
- Experience with Medicare/Medicaid members
- Experience with health promotion, coaching, and wellness
- Previous managed care experience
- Certification in Case Management
- Motivational Interviewing Certification and/or knowledge
Skills
Excel
*
Outlook
*
Electronic Medical Records
*
Microsoft Word
*
* Required skills
Benefits
Life Insurance
Long-Term Disability
401(k) retirement savings plan
Paid Caregiver Leave
Paid Time Off
Short-Term Disability
Dental benefits
Volunteer Time Off
Paid parental leave
Medical benefits
Vision benefits
Company Holidays
Personal holidays
About Humana
CenterWell Home Health specializes in personalized, comprehensive home care for patients managing chronic conditions or recovering from injury, illness, surgery, or hospitalization. CenterWell, a Humana company, is focused on whole-person health, providing senior-focused primary care, home health se...
Healthcare
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