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Care Coordinator

Humana
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Remote (Must reside in Illinois with Field work traveling to see patients at their homes)
$64,000 - $72,000 yearly
Jul 28, 2026
Case Management Licensed Clinical Social Worker (LCSW) Licensed Professional Counselor (LPC) Licensed Social Worker (LSW) Full time
Join Humana Gold Plus Integrated as a Care Coordinator and make a meaningful impact on the lives of Illinois Medicaid Members. As a Care Coordinator supporting Humana's Illinois HealthChoice Medicaid Managed Care program, you will play a vital role in helping members achieve their best possible health and well-being. Reporting to the Manager, Care Management, you will assess member's unique needs, develop personalized care plans, and connect individuals and families with the resources and support they need to thrive. If you are passionate about helping others navigate their healthcare journey and creating lasting change, we encourage you to apply.

The Care Coordinator responsibilities are as follows:

  • Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long-Term Care Facilities and other care settings – 75%-90% local travel.

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

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

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

  • Assist enrollee with filing grievances and appeals.

  • 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.

Required Qualifications

The Care Coordinator must meet one (1) of the following requirements:

  • Bachelor's degree in social sciences, social work, human services, or a related field.

  • Unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with one (1) year experience conducting comprehensive assessments and provision of formal service for the elderly.

  • Licensed Professional Counselor (LPC).

  • Licensed Social Worker (LSW).

The Care Coordinator must meet all following requirements:

  • Must reside in the state of Illinois.

  • 1+ years of experience in health care and/or case management.

  • 1+ years of experience with Medicare & Medicaid recipients and/or long-term care and/or Home and Community based services and/or working with managed care organizations.

  • 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.

Additional Information

  • Workstyle/Travel: This is a Field position that requires 75 - 90% travel in the field to visit members.

  • Schedule: Monday - Friday 8am - 5pm CST but open to flexible work schedule. Possibility of working additional hours based on business needs.

About Humana

Humana is a healthcare services company focused on helping people achieve their best health by making healthcare simple and affordable. We focus on building meaningful connections between patients, providers and communities; fostering shared accountability and driving measurable improvements in health outcomes for the people we serve.

Community is a verb here, because the relationships we form will help us deliver better health outcomes for the people we so proudly serve. We pride ourselves on being a place where, no matter who you are, where you come from, or what you do, you feel that you belong and have an equal opportunity to contribute and succeed.

In any role, you will contribute to our ambition to ensure personal, guided comprehensive care reaches the people who need it most, where and when they need it.

From nurses and physicians on the frontlines of care for our members and patients, to analytics experts connecting us to them in new ways, to social workers promoting their well-being, to customer care employees guiding them on their healthcare journey—each of us makes a real impact.

The mission of the Humana Foundation is to eliminate unjust, avoidable and unnecessary barriers in health and healthcare. The Foundation fosters evidence-based collaborations and investments that support seniors, veterans and school-aged children in living connected, healthy lives.

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