**Become a part of our caring community and help us put health first** The Integrated Care Coach Educator works within the Clinical Education team and is focused on training and educating peers in the High-Risk Patient Management (HRPM) program, focused on Integrated Care Coaches. This role is designed for individuals with lived Integrated Care Coach experience, with lower-level clinical licensure. + Working within an interdisciplinary care team, the Integrated Care Coach is responsible for proactively engaging patients identified as high-risk and implementing targeted interventions to increase patient engagement, address social needs and increase access to care. + The Integrated Care Coach Educator has a deep understanding of all the High-Risk Patient Management roles and gains the respect and confidence of their peers as a peer educator. This role has a functional understanding of transitions of care management and can effectively complete TCM outreach to patients with recent observation, ED visits, or discharges. The role reports to the Associate Director of Clinical Education, CIT Education lead on a team consisting of interprofessional educators. **Primary Responsibilities:** + Design, develop, and deliver comprehensive onboarding and continuing education programs for Integrated Care Coaches and care integration team members, supporting high-risk patient management, value-based care, population health, and senior care models. + Serve as a subject matter expert in care coordination, chronic disease management, social needs navigation, and patient engagement strategies, ensuring education aligns with evolving clinical workflows and care models. + Lead education and competency development on the 5Ms Geriatric Framework (What Matters Most, Mind, Mobility, Medications, Multi-complexity) to support holistic patient assessment, care planning, and engagement. + Demonstrate expert competence to develop and facilitate field-based training and readiness initiatives, including home visit protocols, community-based patient engagement, situational awareness, and field safety best practices. + Design and deliver education that prepares Integrated Care Coaches to effectively support transitions of care workflows, including post-discharge outreach, reinforcement of discharge instructions, medication review support, appointment follow-up coordination, and timely escalation of clinical concerns. + Develop and deliver education that prepares Integrated Care Coaches to support patients’ social drivers of health (SDOH), including navigation of housing instability, financial instability, caregiver strain, psychosocial needs, food instability, employment and education access, transportation barriers, and social isolation. + Develop chronic disease education curricula to ensure Integrated Care Coaches are equipped to deliver evidence-based patient education, reinforce provider and pharmacy recommendations, and support long-term disease self-management. + Develop and deliver training on patient trust-building, motivational interviewing, engagement strategies for resistant or disengaged patients, and techniques to address low health literacy. + Monitor performance through direct observation, chart review, data analysis, and call monitoring; provide coaching, feedback, and remediation to ensure quality, compliance, and continuous improvement. + Collaborate closely with clinical, operational, compliance, and market leadership to assess training needs, develop program enhancements, and support workforce readiness initiatives. + Support onboarding and preceptor programs to ensure smooth transitions for new hires and sustained clinical competency across markets. + Maintain limited active Integrated Care Coach practice and/or field engagement (up to 10%) to remain current in clinical workflows and patient care delivery. **Use your skills to make an impact** **Required Qualifications** + More than 5 years of experience in Integrated Care Coach role and field/community-based supports and interventions + Demonstrated clinical foundation with ability to effectively translate complex clinical concepts into practical, learner-appropriate education + Knowledge of community health and social service agencies and resources + Experience working as part of an interprofessional team + Experience in training and/or training content development + Prior experience conducting home visits and knowledge of field safety practices + Strong knowledge in both social and clinical spaces to promote patient engagement, social needs to be addressed holistically from patient’s perspective, and in creating dynamic care plans. + Proficient in the following computer skills: Microsoft Office applications, Word and Excel, email, apps, Teams + Must reside within 50 miles of a PCO market/center + Ability to travel up to 30%, largely within local and regional markets. **Preferred Qualifications** + LVN or LPN licensure preferred. Advanced clinical licensure not required. + Prior experience in working with geriatrics/senior population + Familiarity with state Medicaid guidelines and application processes + Preferred experience in care management program/project management or implementation + Knowledge of EMR/documentation platforms including Salesforce and AthenaOne **Work from Home Requirements** + To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information + Satellite, cellular and microwave connection can be used only if approved by leadership + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. **Key Competencies** + **Program Workflow Expertise:** You demonstrate up-to-date knowledge of relevant program workflows and protocols + **Training Delivery and Presentation:** You facilitate engaging and structured didactic training sessions, utilizing available technology to maximize training effectiveness. You tailor information to match the skills and education of the learner + **Content Development:** You develop clear, relevant, and evidence-based training materials tailored to the role(s) you are supporting + **Communication and Leadership:** You communicate and advocate effectively and professionally with clinical leadership and interprofessional teams. You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience + **Strategic Thinking & Systems Contribution:** You provide meaningful input during program design discussions, including identifying opportunities for innovation and improvement. You are a problem solver with the ability to identify needs and drive the work with low to moderate oversight + **Real-World Knowledge Application** : You apply experiential knowledge appropriately within a value-based care model during training or coaching + **Coaching & Staff Development:** You support staff development through mentorship, role-modeling, reverse shadowing, and constructive strengths-based feedback **Benefits and Perks:** + At Humana, we value our employees and are committed to providing a supportive and rewarding work environment. As Integrated Care Coach Educator, you will enjoy a comprehensive benefits package designed to enhance your well-being and professional growth: + **Health and Wellness:** Comprehensive health, dental, and vision insurance plans to keep you and your family healthy. + **Retirement Savings:** Generous 401(k) plan with company match to help you plan for your future. + **Professional Development:** Opportunities for continuous learning and development, including access to training programs, certifications, and tuition reimbursement. + **Work-Life Balance:** Flexible work arrangements, including remote work options and paid time off to support your personal and professional life. + **Employee Assistance Program:** Access to resources and support for personal, financial, and legal matters. + **Wellness Programs:** Initiatives to promote physical and mental well-being, including fitness memberships and wellness challenges. + **Community Engagement:** Opportunities to participate in volunteer activities and give back to the community. + **Recognition and Rewards:** Programs to recognize and reward your contributions and achievements. **Impact on Patient Care:** As an Integrated Care Coach Educator, you play a crucial role in enhancing the quality of care provided to our patients, particularly within a care integration team and value-based care model. Your efforts in coordinating and implementing educational programs directly contribute to the professional growth of our care integration staff and the overall effectiveness of our care delivery. Here’s how your work makes a difference: + **Supporting High-Risk Patient Management (HRPM)** : By ensuring that care integration team associates receive comprehensive and up-to-date training, you help them deliver personalized, proactive care to high-risk patients. This training is essential for addressing complex medical and social needs, reducing hospital readmissions, and improving patient outcomes. + **Promoting Geriatric Best Practices** : By facilitating training on the 5M Geriatric best practices, you help the care team provide age-appropriate, comprehensive care that addresses the unique needs of our elderly patients. This holistic approach promotes independence, dignity, and improved quality of life. + **Ensuring Quality and Compliance:** Through your support in developing and implementing training programs, you ensure that our care integration staff are well-versed in quality metrics, compliance standards, and best practices. This knowledge is crucial for maintaining high standards of care and ensuring cost-effective utilization practices. + **Fostering Continuous Improvement** : By coordinating surveys and assessments to evaluate the effectiveness of educational programs, you provide valuable feedback that helps refine and improve our training initiatives. This continuous improvement process ensures that our clinical staff are always equipped with the latest knowledge and skills. + **Building Strong Relationships** : Your role in maintaining relationships with affiliated academic institutions to grant continuing education credits supports the ongoing professional development of our clinical staff. This commitment to lifelong learning enhances the expertise and confidence of our care team. Your contributions as Integrated Care Coach Educator are vital in shaping a healthcare environment where our patients receive the highest quality of care. Join us in making a meaningful impact on the lives of those we serve. **Diversity, Equity, and Inclusion Statement** At the Primary Care Organization, a division of Humana, we are committed to cultivating an inclusive, equitable, and welcoming workplace for all. We value and celebrate the diverse backgrounds, perspectives, and experiences of our associates and recognize that diversity drives innovation and excellence in patient care. We are dedicated to fostering an environment where every team member feels respected, supported, and empowered to contribute. We encourage applications from individuals of all backgrounds and do not discriminate based on race, color, religion, gender, gender identity or expression, sexual orientation, national origin, disability, age, or veteran status. Our commitment to diversity, equity, and inclusion strengthens our organization and enhances our ability to serve our communities. 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. $59,300 - $80,900 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 04-11-2026 **About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. ​ **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. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources