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Job Description Summary

Humana/iCare is seeking a Case Manager/Care Coach to join the growing team in the Family Care Partnership (FCP) program. The FCP Care Coach provides care management services through the FCP program including assessment, service plan development, ongoing care coordination, quality assurance and ongoing monitoring of services to adults with disabilities and the frail elderly. Share your talents and develop your skills all while doing your part to improve the lives of others.

The FCP Care Coach works collaboratively with the Interdisciplinary Team (IDT) and other Partnership staff to assist members and their families with identifying service needs and gaining access to medical, social, rehabilitation, vocational, educational, and other services to achieve members’ desired outcomes.

Essential Duties & Responsibilities:

• Conduct psychosocial assessments as part of the comprehensive assessment process.

• Utilize the Resource Allocation Decision making methodology (RAD), help member identify their preferred outcomes and potential strategies to achieve those outcomes, including through the identification of community resources and cost-effective services or equipment.

• Coordinate and monitor services and resources implemented to meet member’s identified outcomes and member’s progress toward meeting those outcomes.

• Conduct periodic reassessment and updates of the member’s care plan and monitor member’s health and safety.

• Assist member or member’s representative in filing complaints, grievances and obtaining advocacy services.

• Document member information and contacts made regarding member’s care and services provided.

• Build constructive working relationships with the member, their family members, and appropriate outside agency staff.

• Facilitate collaboration with the member’s physician or appropriate medical professionals to coordinate member’s care.

• Educate member and providers regarding benefits, service providers and protocols to access resources and the appropriate use of medical services. Provide referrals for community resources and social services as necessary.

Use your skills to make an impact

Required Qualifications

The Care Coach must meet one of the following qualifications:

• Social Worker certified in Wisconsin with a minimum of one (1) years’ experience working with at least one of the Family Care target group populations.

• 4-year bachelor’s degree or more advanced degree in the Human Service area and a minimum of one (1) years’ experience working with at least one of the Family Care target populations.

• 4-year bachelor’s degree or more advanced degree in any area other than human services with a minimum of three (3) years’ experience working with at least one of the Family Care populations.

The Family Care target group population is defined as: Frail Elders, Adults with physical disabilities or intellectual/developmental disabilities

The Care Coach must meet all of the following qualifications:

• Knowledge of the community resources available to meet the needs of the members and a thorough understanding of the range and type of long term care options available in the community.

• Ability to travel to any location within Adams, Columbia, Dane, Dodge, Green Lake, Jefferson, Marquette, Rock and Waushara counties to conduct assessments within members’ residences.

• Previous experience working with Microsoft Outlook, Word, Teams, and Excel.

Preferred Qualifications

• Certification or Licensure in Social Work in the State of Wisconsin or be eligible for Certification and Licensure.

• Previous managed care experience.

• General knowledge of Medicaid and Medicare benefits.

Additional Information

• Workstyle: 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.

• Travel: up to 75% of the time throughout Adams, Columbia, Dane, Dodge, Green Lake, Jefferson, Marquette, Rock and Waushara counties.

• Typical Work Days/Hours: Monday through Friday; 8:30am – 5:00 pm Central Standard Time (CST).

WAH Internet

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 recommended; wireless, wired cable or DSL connection is suggested.

• Satellite, cellular and microwave connection can be used only if approved by leadership.

• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

• 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.

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.

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 proof of personal vehicle liability insurance with at least 100/300/100 limits.

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.

SSN Alert

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Limited Geography Remote - This is a remote position but located within a specific geography.

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.

$47,700 - $65,600 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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.

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 https://www.humana.com/legal/accessibility-resources?source=Humana_Website.