Humana Family Care Partnership Care Coach in Madison, Wisconsin
Humana/iCare is seeking a Care Coach to join the growing Dane County 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.
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, Physically Disabled, or Intellectually/Developmentally Disabled
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 Dane and Sauk County to conduct assessments within members' residences.
Previous experience working with Microsoft Outlook, Word, Teams, and Excel.
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.
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 Dane and Sauk Counties.
Typical Work Days/Hours: Monday through Friday; 8:30am - 5:00 pm Central Standard Time (CST).
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.
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.
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.
As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire 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.
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. #LI-Remote
Scheduled Weekly Hours
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.
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