• Managing day-to-day operations for in-home service delivery • Overseeing client and staff scheduling to ensure consistent, high-quality care • Supporting and onboarding Behavior Technicians working in the field • Partnering with Clinical Leadership to maintain smooth service coordination • Assisting with community outreach and local relationship-building • Serving as a point of contact for families to ensure a positive service experience

Title: Care Coordinator 1 Location: Edwardsville United States Job Description: Remote Job: Yes widget:Full time The LTSS Care Coordinator (Care Coach 1) employs a variety of strategies, approaches, and techniques to manage a member's health issues. The LTSS Care Coordinator (Care Coach 1) understands own work area professional concepts/standards, regulations, strategies, and operating standards. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Key Responsibilities - Visits Medicaid members in their homes, Assisted Living Facilities (ALFs), and/or Long-Term Care Facilities and other care settings – 75-90% local travel (see Additional Information section). - Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs. - Identifies and resolves barriers that hinder effective care. - Plans and implement interventions to meet care needs. - Coordinates services, monitors, and evaluates the case management plan against the member's personal goals. - Ensures the member progresses towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning. - Guides members/families towards resources appropriate for their care. Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member's care as appropriate and required by our comprehensive contract. Use your skills to make an impact Required Qualifications The Care Coordinator (Care Coach 1) must meet one (1) of the following requirements: - Bachelor's degree in social sciences, social work, human services, or a related field. - An active, unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with one (1) year of experience conducting comprehensive assessments and provision of formal services to elderly individuals. The Care Coordinator (Care Coach 1) must meet ALL the following requirements: - One (1) or more years of experience in health care and case management. - One (1) or more years of experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services (HCBS), and managed care organizations. - Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook. - Ability to use a variety of electronic information applications/software programs including electronic medical records. - Ability to travel in the region to meet face to face with members and/or their families, community partners and care teams. - This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. - This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individuals must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher. Preferred Qualifications - An active, unrestricted Licensed Professional Counselor (LPC) in Illinois. - An active, unrestricted Licensed Social Worker (LSW) in Illinois. - Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Can speak, read and write in both languages without limitations and assistance. See "Additional Information" section for language assessment information. Additional Information - Workstyle: This is a Field position - Employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes. - Travel: 75 - 90% field-based interactions with members and/or their families, community partners and care teams. May need to attend occasional onsite meetings in Humana's Schaumburg, IL office. - Mileage Reimbursement for Travel: Mileage reimbursement is provided for work-related travel from your home to your first work location of the day, between client or assignment locations during the workday and final work location back to home. - Work Schedule: Monday - Friday; 8:00 AM - 5:00 PM Central Standard Time (CST), with flexibility available. Additional hours may be required based on business needs. - Language Assessment Statement: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government. Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $53,700 - $72,600 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Role Description Provides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. - Facilitates administrative support including case assignment, member screening and scheduling, correspondence processing, data entry and telephone and clerical support for team facilitating care management related services for members. - Facilitates initial review of assigned case levels and assists in case management assignment to care managers. - Reviews data to identify principle member needs and works under the direction of the care manager to implement care plan. - Schedules member visits with care managers as needed. - Screens members according to Molina policies and processes and assists care management staff during process of identifying appropriate member services. - Coordinates required member services in accordance with member benefit plan. - Promotes communication both internally and externally to enhance effectiveness of care management services. - Processes member and provider correspondence. Qualifications - At least 1 year of experience in an administrative support role in health care, or equivalent combination of relevant education and experience. - Strong attention to detail. - Problem-solving skills. - Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software. - Excellent customer service skills. - Time-management and organizational skills. - Strong verbal and written communication skills. Requirements - Knowledge of Quality Measures such as STARS, HEDIS, etc. and experience with EMRs. Benefits Molina Healthcare offers a competitive benefits and compensation package. Company Description Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Role Description Bring your passion to Texas Health so we are Better + Together. Work Location: Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011 Work Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion) - Remote Position - Gain a sense of accomplishment by contributing to a teamwork environment. - Receive excellent mentorship, comprehensive training, and dedicated leadership resources. What You Will Do: - Consultant Operations & Deployment Supervision: - Oversees day to day operations of Patient & Family Experience (PFX) consultants across multiple care settings, ensuring appropriate workload distribution and prioritization. - Coordinates consultant deployment across sites to align with system and entity needs. - Standardizes expectations for rounding, coaching, and execution of patient experience interventions to ensure consistent delivery of practices. - Serves as a key escalation point, providing real time support for service recovery needs and operational challenges. - Maintains efficient and responsive consultant coverage, particularly in high risk and high opportunity areas. - Performance Management & Accountability: - Conducts performance reviews and ongoing coaching to support consultant development and skill enhancement. - Monitors consultant effectiveness and ensures alignment with HCAHPS, CGCAHPS, and Consumer Focus KPIs. - Provides consistent oversight and feedback to reinforce accountability and drive measurable performance outcomes. - Ensures reliable execution and follow through on consulting responsibilities across all assigned areas. - Training, Coaching & Capability Development: - Leads implementation of system wide training, competency validation, and observation standards for consultants. - Provides expert coaching and feedback to ensure consistent application of evidence based patient experience practices. - Contributes to the development and standardization of tools, workflows, and processes that support sustainable performance improvement. - Reinforces organizational expectations for patient experience strategies through structured capability building efforts. - Leadership Partnership & System Alignment: - Serves as a liaison between consultants, entity leaders, and system leadership to ensure alignment with consulting priorities. - Provides visibility into consultant performance, operational progress, and emerging risks or barriers. - Elevates system level themes and challenges to leadership to support informed decision making. - Supports alignment between daily operations and strategic goals to ensure a coordinated approach to improving patient experience across the organization. - Patient Experience Consulting: - Performs limited day to day consulting responsibilities as a subject matter expert in patient experience. - Applies performance improvement methodologies, survey knowledge, and data analysis to identify priorities and opportunities. - Monitors and analyzes patient experience data; prepares reports and presentations to support leadership decision making. - Acts as a change agent to drive adoption of patient experience strategies and support long term sustainability of improvements. - Other Duties as Assigned: - Performs additional responsibilities and/or participates in special projects as needed to support departmental and organizational goals. Qualifications - Bachelor's Degree in Business, healthcare or related field (4 Years Required) - 4 Years Experience in patient experience consulting, implementing and executing evidence-based practices in a complex, matrixed health care organization with demonstrated results in improving and sustaining patient experience (Required) - 2 Years Experience in healthcare leadership or program management experience with accountability to senior leadership (Preferred) Requirements - Demonstrates strong communication and presentation skills, with the ability to effectively engage and influence stakeholders at all levels, including frontline staff, leaders, and physicians. - Possesses excellent interpersonal and relationship building skills to collaborate, problem solve, and drive patient experience improvement initiatives. - Exhibits advanced coaching and consulting skills, including the ability to assess performance, provide actionable feedback, and guide leaders and consultants in implementing evidence based practices that support Consumer Focus goals. - Effectively translates data and insights into practical strategies, tools, and resources that drive measurable improvement and sustain behavior change. - Demonstrates strong problem solving abilities, with experience interpreting patient experience data, identifying trends, and communicating insights in a clear and actionable manner. - Maintains knowledge of patient experience survey methodologies (e.g., HCAHPS, CGCAHPS) and applies this expertise to support improvement efforts. - Ability to travel to all facility locations within the Texas Health Resources geographic service area. Benefits - This position manages people (5-9). ADA Requirements - Extreme Heat 1-33% - Extreme Cold 1-33% - Extreme Swings in Temperature 1-33% - Extreme Noise 1-33% - Working Outdoors 1-33% - Working Indoors 67% or more - Mechanical Hazards 1-33% - Electrical Hazards 1-33% - Explosive Hazards 1-33% - Fume/Odor Hazards 1-33% - Dust/Mites Hazards 1-33% - Chemical Hazards 1-33% - Toxic Waste Hazards 1-33% - Radiation Hazards 1-33% - Wet Hazards 1-33% - Heights 1-33% - Other Conditions 1-33% Physical Demands - Sedentary Travel Requirements - Local 80% Facility locations throughout the geographic service area covered by Texas Health Resources.