Care Coach, Family Care Partnership

Humana•Milwaukee, WI

6d•Hybrid

About The Position

Care Coach, Family Care Partnership Become a part of our caring community Humana/iCare is looking for a Care Coach to join the growing Milwaukee 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 and develop your skills all while doing your part to improve the lives of others. You will report to Manager of Care Management Support. 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.

Requirements

The Family Care target group population is defined as: Frail Elders, Physically Disabled, or Intellectually, Developmentally Disabled
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.
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.
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 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.

Nice To Haves

Certification or Licensure in Social Work in the State of Wisconsin or be eligible for Certification and Licensure.
Previous managed care or Medicaid experience.

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.