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.
Create documentation according to policy and procedure, workflows, audit requirements and time frames.
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.
Assist in problem resolution between member and providers.
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.
Actively monitor member's ability and willingness to engage in treatment regimes, and problem solve with staff, member and providers to find alternatives or solutions to their needs.
Applicants should reside within the Milwaukee County or surrounding areas. All candidates must be willing and able to travel up to 75% in the field as part of their regular responsibilities.
Required Qualifications
The Family Care target group population is defined as: Frail Elders, Physically Disabled, or Intellectually, Developmentally Disabled***
The Care Coach must meet one of the following qualifications:
4-year bachelor's degree or more advanced degree in the Human Service or Social Work area and one (1) or more 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 three (3) or more years' experience working with at least one of the Family Care populations.
The Care Coach must meet all of the following qualifications:
Must reside in the state of Wisconsin
Ability to travel up to 75% to any location within Milwaukee County to conduct assessments within members' residences.
Knowledge of the community resources available to meet the needs of the members and a deep understanding of the range and type of long-term care options available in the community.
Previous experience working with Microsoft Outlook, Word, Teams, and Excel.
Must have a dedicated office space to protect member PHI/HIPPA information.
Preferred Qualifications
Certification or Licensure in Social Work in the State of Wisconsin or be eligible for Certification and Licensure.
Previous managed care or Medicaid experience.
Additional Information
Workstyle: Field. Field workstyle is defined as associates performing their core duties at one or more non-Humana/iCare locations.
Travel: up to 75% of the time throughout Milwaukee County.
Typical Work Days/Hours: Monday through Friday; 8:30am – 5:00 pm Central Standard Time (CST).
Work-At-Home Requirements:
To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates 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.
Associates 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 associates 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 Statement:
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 Statement:
This role is part of our company's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.
Medicaid Mileage Reimbursement
We provide mileage reimbursement for work-related travel. Eligible mileage includes:
Travel from your home to your first work location of the day.
Travel between client or assignment locations during the workday.
Travel from your final work location back to your home.
Interview Format:
As part of our hiring process for this opportunity, we will be using exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected for a first-round interview, you will receive an email correspondence inviting you to participate in a HireVue interview. In this interview, you will receive a set of interview questions you may answer via by phone or computer, and you will provide recorded or text message responses to each question. Some of the questions may require longer responses and using a computer vs phone to type responses may work best. You should anticipate this interview to take about 15-20 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
Why Humana?
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 security—both 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
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.
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.
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