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

Join our team in this exciting role as a LongTerm Care Functional Screen Specialist! In this role you will support the Inclusa/Humana team serving members in the Wisconsin Family Care (FC) program. You will be responsible for using the tool designed by the State Department of Health Services (DHS) to assess functional status level of care and ongoing eligibility of Family Care members.

• Upon assignment schedules appointments with members to complete an annual redetermination of functional eligibility or a redetermination of eligibility based on changes in functional abilities reported by Member Support Coordination (MSC) staff. Screens are expected to be scheduled in a manner which maximizes organizational resources including time/travel expenses.
• Uses the screening tool designed by DHS to gather information about each individuals functional abilities health status and personal and professional supports required to meet his or her desired level of functioning.
• Pending the revelation of needs or concerns beyond the scope of the functional screen refers members to staff of Inclusa or an Aging and Disability Resource Center.
• Responds to urgent situations and refers individuals for crisis intervention as necessary.
• Maintains uptodate online member information regarding functional abilities demographics and appropriate contacts.
• Works directly with MSC staff to ensure consistency between the information gathered during a members functional assessment and memberspecific data contained in internal records.
• Conducts facetoface interviews with individuals usually in their homes to perform the functional screen. Enters the information gathered into an internetbased program that based on the data collected during a facetoface interview calculates a level of care for the individual.
• Provides 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 one is entitled to or overall program eligibility.
• Submits timely accurate and complete documentation in accordance with established guidelines and processes.
• Attends meetings and training as needed or required to maintain knowledge of agency processes the longterm care functional screening tool and/or any changes to process or the screening tool resulting from new state directives.
• Participates in quality assurance activities that ensure competence and interrater reliability among all staff certified to use the statewide longterm care functional screen tool.
• Once obtained maintains certification to complete functional eligibility screens by completing and passing continuing skills testing as required by the State of Wisconsin.
• Applies good professional judgment in documentation by demonstrating respect for members and maintaining screen integrity when reviewing and completing assessments.

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: La Crosse Wisconsin and surrounding areas.
• Travel: up to 50% throughout La Crosse 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 required; 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.

Travel: While this is a remote position occasional travel to Humanas 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.

$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

About Inclusa: Inclusa manages the provision of a personcentered and communityfocused approach to longterm care services and support to Family Care members across the state of Wisconsin. As a valuesbased organization devoted to building vibrant and inclusive communities Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity which focuses on the belief in everyone and from that belief the common good for all is achieved. In 2022 Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industryleading support for members across the health care continuum.

About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first for our teammates our customers and our company. Through our Humana insurance services and our 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 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.