Humana Care Coach, RN CMDM, Tampa FL ONLY in Tampa, Florida
Role: Care Coach, CMDM (RN) Assignment: Location: Tampa, FL
Be a part of our clinical space engage our members and guide them to develop lifelong wellbeing and health.
Humana is seeking a Care Coach, CMDM (RN) to telephonically assess Medicaid, members in 7 domains of functioning; evaluate member needs and requirements to achieve and/or maintain optimal wellness state. You will guide members and their families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. Work in collaboration with a multi-disciplinary team, employing a variety of strategies, approaches and techniques to manage a member’s physical, environmental and psycho-social health issues.
Other responsibilities include: * Proactive telephonic outreach to eligible Humana members and engage participation in care management programs.
Actively participate in all enrollment activities.
Complete physical, psychological, emotional and environmental assessments, for the purpose of providing appropriate, timely interventions to ensure provision of optimal care.
Coordinate community care and services as deemed appropriate.
Works collaboratively with other members of the Interdisciplinary team-to include; Humana Care Managers-Social Services, Field Care Managers and Community Health Educators.
Understand clinical program design, implementation, and management, monitoring and reporting.
Comply with performance and reporting standards as defined by Humana Corporation.
Additional responsibilities as deemed appropriate by Humana leadership. Assignment Capsule As a Care Coach, CMDM (RN) you will engage our members to develop lifelong well-being and health.
Humana Medicaid is seeking Care Coach, CMDM Nurse who will telephonically assess, plan, implement and coordinate all case management activities for our members. You will educate members on making choices to assist them to achieve better overall health.
Work with identified members telephonically to assess their care needs.
Assist in planning and implementing interventions to meet those needs.
Assist in coordinating services, and monitoring and evaluating the case management plan against the member's personal goals.
Active RN license in the state of Florida
Ability to be licensed in multiple states without restrictions
3 years clinical adult care experience
Ability to work independently under general instructions and with a team
Health Plan Experience
Prior experience with Medicare & Medicaid recipients.
Previous experience with electronic case note documentation and experience with documenting in multiple computer applications/systems.
Experience with health promotion, coaching and wellness.
Call center or triage experience
Knowledge of community health and social service agencies and additional community resources.
Previous telephonic case management experience working in the medical/insurance field.
Previous managed care experience.
Basic knowledge of complex care management and care management principles
Experience with motivational interviewing
Experience with behavior change, health promotion, coaching and wellness.
Bilingual: Must be able to speak, read and write in primary and secondary languages without limitations or assistance.
Interview Format As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Voice to enhance our hiring and decision-making ability. Montage Voice 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.
If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn’t missed) inviting you to participate in a Montage Voice interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Humana is an organization with careers that change lives—including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you’re ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.
Title: Care Coach, RN CMDM, Tampa FL ONLY
Requisition ID: 182050
Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We also provide free language interpreter services. See our full accessibility rights information and language options.