Care Coach - Dane County, WI

Humana • Madison, WI

1d • Remote

About The Position

Become a part of our caring community Humana/iCare is looking for a Care Coach to join the growing Dane County team in the Family Care Partnership (FCP) program. You will report to the Manager of Care Management Support and will work as part of the Interdisciplinary Team (IDT). You will collaborate with members and their families with identifying service needs including medical, social, rehabilitation, vocational, and education. You will provide 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. You will develop your skills all while doing your part to improve the lives of others.

Requirements

• A Bachelor's degree in human services or a related field is required, with at least 1 year of experience serving frail elders or adults with intellectual, developmental, or physical disabilities.
• Alternatively, a Bachelor's degree in another field with at least 3 years of such experience is also acceptable.
• A valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
• Self-provided internet service 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.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

• Previous home health, managed care or case management experience
• Case Manager Certification
• General knowledge of Medicaid and Medicare benefits

Responsibilities

• Conduct psychosocial assessments as part of the comprehensive assessment process.
• Use the Resource Allocation Decision-making methodology (RAD). This methodology helps members identify their preferred outcomes and potential strategies to achieve those outcomes.
• Coordinate and monitor services and resources implemented to meet member's identified 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 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.
• 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.
• Monitor member's willingness to participate in treatment regimes, partnering with staff, member and providers to find alternatives or solutions to their needs.
• Use your skills to make an impact

Benefits

• medical
• dental
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level