Transition Coordinator

Description

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 Two (2) years’ hospital and/or Medicare/Medicaid Program experience

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
• Must reside in the state of Louisiana

• COVID 19 vaccine - 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

• Case Management Certification (CCM)
• Experience working with Medicare, Medicaid and dual-eligible populations
• Health Plan experience
• Fluent in Spanish, French Creole, or Vietnamese

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.

Training: March 27, 2023

Work-At-Home Requirements

• Must have the ability to provide a high speed wireless,  DSL or cable modem (including VPN tunnel)  for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
• A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.  
• Satellite Internet service is NOT allowed for this role.
• 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)

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Scheduled Weekly Hours