Become a part of our caring community and help us put health first

Essential Duties and Responsibilities:

Coordinate appointments with members or legal representative to complete Annual and Enrollment redetermination of functional eligibility within members home; conduct rescreens due to member change in functional abilities for redetermination of eligibility as identified by Interdisciplinary Team (IDT).
Utilize established methodology of the Wisconsin LTCFS process to collect membercentered data regarding functional abilities health status and needsbased use of personal and professional supports and verify consistency of member specific data between functional assessment and members record to ensure members functional needs are accurately reflected.
Collaborate with the IDT to ensure all assigned LTCFS rescreens are completed within the required time frame.
Submit information collected during faceto face interview and collaborative verification into WI State internetbased program while maintaining compliance of state mandated timelines & appropriate professional utilization of LTCFS Instruction Manual.
Effectively maintain updates of status to assigned members LTCFS rescreens on department spreadsheets to ensure adherence of State of WI and iCare LTCFS timeframes. Review Level of Care for iCare members including followup
consultation with Grievance and Appeals or Enrollment/Eligibility/Fiscal staff.
Provide appropriate notice of Member Rights in accordance with contractual requirements to members who experience a change in level of care that may impact the benefit package or overall program eligibility.
Attend meetings and trainings as required to maintain & enhance knowledge of agency processes & the LongTerm Care Functional Screen.
Maintain LTCFS certification via completion of WI biannual Continuing Skills Test

The Care Coach 1 employs a variety of strategies approaches and techniques to manage a members health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment data conversations with member and active care planning. Understands own work area professional concepts/standards regulations strategies and operating standards. Makes decisions regarding own work approach/priorities and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.

Use your skills to make an impact

Required Qualifications

• Fouryear bachelors degree in a Health or Human Services related field with one 1 year of experience working with at least one of the Family Care target populations OR be a Wisconsin licensed Registered Nurse with one 1 year of experience working with at least one of the Family Care target populations.

***The Family Care target group population is defined as: frail elders and adults with intellectual developmental or physical disabilities***

Long Term Care Functional Screener (LTCFS) Required Qualifications

• Selected individual must meet requirements and successfully complete online screener certification training course(s) and become certified as a functional screener.

Additional Information

• Workstyle: This is a field position where employees perform their core duties at noncompany locations such as providing services at business partner facilities or prospects and members homes.
• Work Location: Dane County Wisconsin and surrounding areas.
• Travel: up to 50 throughout Dane County WI and surrounding areas.
• Typical Work Days/Hours: Monday Friday 8:00 am 4:30 pm CST

WAH Internet Statement

To ensure Home or Hybrid Home/Office employees ability to work effectively the selfprovided 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 biweekly 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.

Driving

This role is part of Humanas driver safety program and therefore requires an individual to have a valid state drivers license and proof of personal vehicle liability insurance with at least 100/300/100 limits.

TB

This role is considered patient facing and is part of Humanas Tuberculosis (TB) screening program. If selected for this role you will be required to be screened for TB.

Benefits

Humana offers a variety of benefits to promote the best health and wellbeing of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial securityboth today and in the future including:

• Health benefits effective day 1
• Paid time off holidays volunteer time and jury duty pay
• Recognition pay
• 401(k) retirement savings plan with employer match
• Tuition assistance
• Scholarships for eligible dependents
• Parental and caregiver leave
• Employee charity matching program
• Network Resource Groups (NRGs)
• Career development opportunities

HireVue

As part of our hiring process for this opportunity we will be using an interviewing technology called HireVue to enhance our hiring and decisionmaking 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 with instructions on how to add the information into your official application on Humanas secure website.

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.

$53700 $72600 per year

Description of Benefits

Humana Inc. and its affiliated subsidiaries (collectively Humana) offers competitive benefits that support wholeperson wellbeing. 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) shortterm and longterm 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 Humanato 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.