Transition Coordinator

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Job Information

Humana

Transition Coordinator

in

Metairie

Louisiana

Description

The Transition Coordinator (Care Coach1) employs a variety of strategies, approaches, and techniques to manage a member's health issues. Identifies and resolves barriers that hinder effective care after discharge from Psych hospital.

Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning.

Understands own work area professional concepts/standards, regulations, strategies, and operating standards.

Makes decisions regarding own work approach/priorities and follows direction.

Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.

Responsibilities

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

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

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field. 

Preferred Qualifications

Health Plan experience

Fluent in Spanish, French Creole, or Vietnamese

Case Management Certification (CCM)

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 associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

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 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

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) (https://ethics.la.gov/boardprocedures.aspx?type=advisory opinion)

Interview Format

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

If you are selected to move forward from your application prescreen, you will receive an email correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. (please be sure to check your spam or junk folders often to ensure communication isn't missed)

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 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 next round of interviews.

#LI-KK1

Scheduled Weekly Hours

40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Company info

Humana Inc.
Website : http://www.humana.com