护理协调员-助产士

Become a part of our caring community

Make a meaningful difference for mothers, babies, and families across Illinois. As a Care Coordinator Doula, you'll help support Humana's IL Medicaid members throughout their pregnancy, childbirth, and postpartum journey. Working with a multidisciplinary team of nurses, social workers, behavioral health professionals, and care coordinators, you'll help ensure members receive compassionate, personalized care that improves health outcomes and addresses barriers to care. This is an opportunity to combine your doula expertise with care coordination, advocacy, and community engagement to positively affect the lives of families during one of their most important life experiences.The Care Coordinator Doula's responsibilities include:

• Ensure pregnant and postpartum Medicaid members are receiving appropriate services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.

• Identify and resolve barriers that hinder effective perinatal and postpartum care.

• Plan and implement interventions to meet care needs.

• Coordinate services, monitor, and evaluate the case management plan against the member's personal goals.

• Ensure the member is progressing towards desired outcomes by continuously monitoring through use of assessment, data, conversations with members, and active care planning.

• Assess and evaluate members' needs via telephonic and face-to-face assessments and evaluations, to coordinate services and address enrollee needs.

• Assist members to remediate immediate and acute gaps in care and access.

• Provide information to enrollee related to MCO requirements, services, and benefits.

• Provide enrollee with information and/or referrals to community resources.

• Guide 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.

• Visit Medicaid members in their residences – up to 25% local travel

Use your skills to make an impact

Required Qualifications

• Illinois Medicaid-Certified Doula

• Must reside in Illinois.

• 1+ years of experience in health care.

• 1+ years of case management/care coordination experience.

• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.

• Experience using a variety of electronic information applications/software programs including electronic medical records.

Preferred Qualifications

• Experience working with Medicaid recipients.

• Experience providing doula services to individuals and families during pregnancy, childbirth, and the postpartum period.

• Knowledge of community health and social service agencies and additional community resources.

• Previous managed care experience.

• Bilingual.

Additional Information

• Workstyle: This is a remote position that will require you to travel.

• Travel: Up to 25% local travel for collaboration and face-to-face meetings as well as field interactions with staff, providers, members, and their families.

• Typical work days/hours: Operating hours areMonday - Friday 8:00 AM - 7:00 PM CST but core hours for this position are primarily Monday – Friday, 8:00 AM – 5:00 PM CST. May need to be flexible with work schedule based on business needs.

Driving
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.
TB
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.
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
40Pay 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 yearDescription 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 Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.​
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.
Originally posted on Himalayas