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Care Coach (LTSS) - Rockbridge County

Become a part of our caring community and help us put health first
 

Humana Healthy Horizons in Virginia is looking for Care Coaches (Care Coach 1) who will assess and evaluate members’ needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members. The Care Coach 1 work assignments are often straightforward and of moderate complexity.

This role involves meeting members in the field at their home, Nursing Facility (NF) or location of the member’s choice, spending quality time assessing their goals, needs and barriers and then connecting our members with quality services to promote their ultimate well-being and drive person centered health outcomes. 

  • Provides specialized support for Members receiving Long Term Services and Support (LTSS), with a focus on addressing health related social needs (HRSNs), providing psychosocial support, and ensuring LTSS meets the member’s service needs.
  • May support members residing in NFs by building relationships with facility staff, advocating for member care (including access to needed behavioral health services), and assessing the member’s desire and ability to return to the community.
  • Contacts members telephonically and face-to-face to establish goals and priorities, evaluate resources, develop plans of care, and identify LTSS providers and community partnerships to provide a combination of services and supports that best meet the needs and goals of member and caregiver through person centered thinking approaches. 
  • Develops and modifies Individual Service Plan and involve applicable members of the care team in care planning (Informal caregiver coach, PCP, etc.). 
  • Supports members through navigation of their LTSS and related environmental and social needs.
  • Utilizes available information pertaining to member to prevent the need for administration of duplicative assessments. 
  • Focuses on supporting members and/or caregivers utilizing an interdisciplinary approach in accessing long term services and support, social, housing, educational and other services, regardless of funding sources to meet their needs. 
  • Makes recommendations for appropriate Home and Community-Based Services to enable member’s independence in the community.
  • Facilitates interactions with other payer sources, providers, and Interdisciplinary Care Teams.
  • Educates members in maintaining Medicaid eligibility. 
  • Assists with entry of annual Level of Care assessment into state portal.


Use your skills to make an impact
 

Required Qualifications

  • Must reside in the Roanoke/Alleghany Region in the Commonwealth of Virginia in the independent cities of Lexington or Buena Vista, Rockbridge County, or within a 50-mile radius of Rockbridge County.
  • Bachelor's degree in health or human services field OR an active LPN license in the Commonwealth of Virginia without disciplinary action.
  • Two (2) years of prior experience in health care and/or case management.
  • One (1) one year of experience working directly with individuals who meet the Cardinal Care Priority Population criteria (adults, pediatrics populations at risk for chronic medical conditions & high social needs).
  • 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. 
  • Exceptional oral and written communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders. 
  • Proven ability of critical thinking, organization and problem- solving skills. 
  • 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.
  • Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families.
  • 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.

Preferred Qualifications

  • Nursing home diversion or long-term care case management experience. 
  • Experience with Medicare & Medicaid recipients. 
  • Experience with electronic case note documentation and documenting in multiple computer applications/systems. 
  • Experience working with complex health population. 
  • Experience with health promotion, coaching and wellness. 
  • Experience working with a Waiver Program. 
  • Knowledge of community health and social service agencies and additional community resources.
  • Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance. See “Additional Information” section for more information.  

Additional Information

  • Workstyle: Field - This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.
  • Work Location: must reside in the Roanoke/Alleghany Region in the Commonwealth of Virginia in the independent cities of Lexington or Buena Vista, Rockbridge County, or within a 50-mile radius of Rockbridge County.
  • Travel: 50 - 75% field interactions with members, and their families and providers. May need to attend onsite meetings occasionally in Humana Healthy Horizons office in Glen Allen, VA.
  • Workdays and Hours: Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST).
  • 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.

WAH Internet Statement

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.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Humana will provide Home or Hybrid Home/Office employees 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.

Interview Format

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.

#EV

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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.


About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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Average salary estimate

$63150 / YEARLY (est.)
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$53700K
$72600K

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What You Should Know About Care Coach (LTSS) - Rockbridge County, Humana

Join Humana Healthy Horizons in Virginia as a Care Coach (LTSS) in beautiful Rockbridge County, where you'll have the unique opportunity to make a real impact in people's lives. In this role, you'll meet with members in their homes or preferred locations, helping them achieve and maintain optimal wellness. Your primary responsibilities will include assessing members' goals, identifying their needs, and connecting them with valuable resources that foster their well-being. You'll be providing specialized support geared towards members receiving Long-Term Services and Supports (LTSS), which highlights your role in addressing health-related social needs while collaborating with other healthcare professionals. By engaging in face-to-face interactions and establishing meaningful relationships with members and facility staff, you'll advocate for improved care and ensure their access to necessary services. If you're passionate about supporting individuals as they navigate health challenges and community resources, this role at Humana is where your skills can shine. With an organization that values compassionate care, you'll engage in person-centered approaches, helping members create and adjust their Individual Service Plans, emphasizing independence and community reintegration. Enjoy a work environment that fosters growth and well-being while you help others experience that same support. Come be part of our caring community and help us put health first!

Frequently Asked Questions (FAQs) for Care Coach (LTSS) - Rockbridge County Role at Humana
What are the responsibilities of a Care Coach (LTSS) at Humana Healthy Horizons?

As a Care Coach (LTSS) at Humana Healthy Horizons, your responsibilities include assessing members' needs, developing personalized care plans, advocating for members in nursing facilities, and connecting them with resources to navigate their long-term services and supports (LTSS). You'll also facilitate relationships with interdisciplinary care teams and engage in community partnerships to enhance the quality of care.

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What qualifications do I need to become a Care Coach (LTSS) with Humana in Rockbridge County?

To qualify for a Care Coach (LTSS) position with Humana in Rockbridge County, you must either have a Bachelor’s degree in a health-related field or hold an active LPN license in Virginia. Additionally, two years of experience in healthcare or case management, along with experience working with priority populations, is required.

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How does the Care Coach (LTSS) role support health-related social needs?

In the Care Coach (LTSS) role at Humana, you'll focus significantly on addressing members' health-related social needs by providing psychosocial support. This includes understanding barriers to wellness, connecting members to community resources, and ensuring they receive the necessary support through long-term services and supports (LTSS) that promote optimal health outcomes.

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What is the expected travel for the Care Coach (LTSS) position in Lexington, VA?

The Care Coach (LTSS) position at Humana requires travel for face-to-face assessments and interactions, consisting of approximately 50-75% fieldwork. You'll be visiting members' homes and other settings to ensure a comprehensive approach to care and support.

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Can you describe the work environment for a Care Coach (LTSS) at Humana?

The work environment for a Care Coach (LTSS) at Humana is primarily field-based, meaning you'll spend substantial time outside the office providing services directly to members. This position requires establishing a warm rapport in various settings, which encourages a positive impact on the community's health outcomes.

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Common Interview Questions for Care Coach (LTSS) - Rockbridge County
What experience do you have related to Long-Term Services and Supports?

When answering this question, highlight specific roles where you have facilitated care plans, coordinated with healthcare providers, and directly engaged with individuals needing long-term support. Share your understanding of the LTSS system and how it affects your approach to care.

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How do you handle challenging situations with members or family members?

Emphasize your communication skills and ability to empathize with emotional situations. Provide examples of how you’ve de-escalated difficulties by actively listening to concerns and using problem-solving strategies to achieve a positive outcome.

Join Rise to see the full answer
Can you give an example of a time you built a rapport with a difficult client?

Share a specific instance demonstrating your patience and strategy in developing trust with a client. Explain the steps you took to understand their unique needs and how this relationship resulted in improved outcomes.

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What strategies do you use to assess a client's needs effectively?

Discuss your systematic approach to evaluating needs, mentioning tools or frameworks you use for assessment. Highlight the importance of active listening and gathering comprehensive information from various sources.

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Describe your experience with interdisciplinary care teams.

Talk about your collaboration with various healthcare professionals, including the role you played and how you contributed to the team’s success. Stress the importance of teamwork in providing holistic care.

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How do you stay organized and manage your workload in the field?

Explain your methods for prioritizing tasks, keeping track of appointments, and maintaining communication with the care team. Mention any tools or technologies you utilize to help stay organized.

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What makes you a good fit for the Care Coach (LTSS) role at Humana?

Align your personal values with Humana's mission of putting health first. Mention your passion for helping others, your relevant experience, and how your skills match the job’s requirements.

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How do you educate members about maintaining Medicaid eligibility?

Explain your approach to providing clear, accessible information regarding Medicaid eligibility requirements, including how you tailor your communication to suit various literacy levels and cultural backgrounds.

Join Rise to see the full answer
What software tools are you familiar with that are vital for this role?

List relevant software skills, such as experience with electronic health records and Microsoft Office tools. Discuss how your technical abilities help you efficiently complete documentation and maintain accurate records.

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How would you advocate for a member needing behavioral health services?

Discuss your advocacy strategy, which may include collaborating with healthcare providers, understanding the member's unique challenges, and ensuring they have the resources they need for their behavioral health.

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Since 1961, Humana has been committed to helping people live healthy and happy. Our approach is simple—offer personalized care from people who care. We do this by listening to our members and creating solutions to help them reach the best version ...

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DATE POSTED
April 20, 2025

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