Care Coordinator
Care Coordinator
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$ 45400 - 61300
1 Vacancy
Job Description
Become a part of our caring community and help us put health first
iCare/Humana is seeking a Care Coordinator to join the Wisconsin Medicaid Market team. The Care Coordinator provides care coordination services to meet medical behavioral health and social needs of members while promoting and maintaining the quality of care for members. Join this dedicated team and lead change in how health care for the underserved in Wisconsin is managed.- Conducts initial assessments of members medical behavioral and social needs.
- Coordinates and organizes information from members assessment to develop a care plan that addresses their needs and assures implemented interventions are collaborated with members and their providers/supports.
- Builds constructive working relationships with physicians social service providers and others by involving them in the Care Coordination process and assists in problem resolution involving members and providers as a member advocate including information for the member grievance process.
- Reviews monitors and updates care plans as indicated within the TruCare system.
- Provides information to members and providers regarding benefits service providers and access protocols and educates members on appropriate use of medical services. Provides referrals for community resources and social services as necessary.
- Documents member information and contacts made regarding members care and services provided.
- Actively monitors members ability and willingness to engage in treatment regimes and problem solves alternatives or solutions to their needs. with staff members and providers
- Conducts follow up calls post hospitalization and emergency room visit according to policy.
- Educates members on preventive health guidelines and programs.
Use your skills to make an impact
Required Qualifications
- Bachelors degree in a Health and Human Services field
- Experience working with Microsoft Office including Outlook Teams Word and Excel
- 2 years of health care social work or related experience
- Decision making skills regarding own work approach/priorities and work assignments standards and resources
- Must reside in Wisconsin
Preferred Qualifications
- Previous experience working with persons with disabilities in a health care or social service setting.
- Case Management experience
- General knowledge of Medicaid and Medicare benefits.
- Social Work related licensure or certification
- Bilingual
Additional Information
- Workstyle: This is a hybrid home position where employees primarily work from their home office occasionally using company office space for collaboration and face-to-face needs.
- Work Location: must reside in Wisconsin.
- Travel: Potential travel to the Humana/iCare office location in Milwaukee for in person team meetings bi-monthly or as needed.
- Typical Work Days/Hours: Monday Friday 8:30 am 5:00 pm CST
WAH Internet Requirements
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 required; wireless wired cable or DSL connection is suggested.
- Satellite cellular and microwave connection can be used only if approved by leadership.
- 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.
Benefits
Humana offers a variety of benefits to promote the best health and well-being 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 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 Statement
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
40Pay 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.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 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.
Required Experience:
IC
Employment Type
Full-Time
