$2,500 SIGN-ON BONUS for new associates!

$2,500 payable following 90 days employment. The Care Coach provides proactive, patient centered care coordination and social needs support for the highest risk top 5% patient membership. You will serve as the primary contact for patients and focuses on care coordination, adherence coaching, healthcare navigation, transitions of care and reinforcing care plans. You will report to a Care Integration Team Manager within the CenterWell and Conviva Primary Care organization. Duties and Responsibilities The Care Coach coordinates care across health and social service systems, serving as patient advocates and clinical supports, including but not limited to:

Clinical Screening & Escalation:
Conduct structured patient interviews and collect health-related information (e.g. medication regimen and barriers to adherence, social barriers, functional status.) Document and share findings with providers.
Outreach and Home Visits:
Perform home visits to observe living conditions, identify safety concerns, and review environmental or social factors impacting engagement.
Social Needs support: Identify barriers to care, address immediate social stressors, and connect patients with appropriate community-based resources.
Chronic Disease Education:
Deliver culturally appropriate education using approved materials to reinforce provider and pharmacist recommendations for chronic disease management.
Care Coordination:
Serve as a liaison between patients, primary care, specialists, pharmacies, home health, and community providers. Support care transitions, coordinate follow-up, and facilitate communication across care settings to close care gaps. Partner closely with the primary care provider to create care plans and priority action items.
Post-Hospital and Emergency Department Follow-Up :
Conduct timely follow-up after hospitalizations and emergency department visits to support safe transitions. Review discharge instructions, schedule/confirm follow-up appointments, verify patient reported medications and escalate discrepancies to providers.
Community Engagement:
Encourage and support patient connection to community-based programs that reinforce health goals, including initial engagement when appropriate.
Cultural Competence:
Deliver patient centered, culturally sensitive care that respects patients' beliefs, preferences, and social context.
Develop a holistic understanding of patient needs via a 5Ms framework (What M
atters Most,
M ind (Mentation), M
obility,
M edications,
M• ulti-complexity) and identify barriers impacting health outcomes.
Prepare, participate and discuss patients during High-Risk Rounds Required Qualifications
Healthcare professional with 3+ years of Ambulatory, Primary Care, or Senior-Care experience with direct patient care
Ability to discuss chronic conditions and reinforce medication instructions
Comfortability to regularly conduct home visits and community-based outreach
Demonstrated experience in patient education, care coordination, and social support of high-risk or geriatric populations Preferred Qualifications
Active Unrestricted LPN/LVN license or MA Certification
Licensed or Unlicensed Medical professional with equivalent foreign Registered Nurse (RN) or Physician license
Market Dependent:
Bilingual in English, Spanish and/or Creole with the ability to read/write/speak in both languages
Experience in care coordination, case management, population health and/or value-based care models
Experience conducting post-hospital/ED follow up with appropriate escalation
Familiarity with Medicaid, Long-term Care, and HCBS programs
Experience working with seniors and medically complex populations
Prior home visit experience and knowledge of field safety practices Use your skills to make an impact This role has a mobile presence, involving travel to patients' homes, healthcare facilities, community-based settings, and assigned clinics.
Workstyle:
Combination of clinic-based and field work
Location:
Must reside in designated market area

•

Hours:

Monday-Friday, 8:00 AM-5:00 PM; overtime may be required

TB Statement:

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.

Driving Statement:

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. Individual 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.

Interview Format:

HireVue:

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue 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.

Benefits:

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:

Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities #LI-BL1 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 This job is eligible for a bonus incentive plan.

This incentive opportunity is based upon company and/or individual performance. 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.

About Us About Conviva Senior Primary Care:

Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana's Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health

addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated a... 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