Care Coach - Dane County, WI

Humana • Madison, WI

1d • Remote

About The Position

Become a part of our caring community and help us put health first Humana/iCare is looking for a Care Coach to join the growing Dane 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. The FCP Care Coach works with the Interdisciplinary Team (IDT) and other Partnership staff. This collaboration assists members and their families with identifying service needs and gaining access to services, including medical, social, rehabilitation, vocational, educational, and other services. The ultimate goal is to achieve members' desired outcomes. 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. These strategies include 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. Help with 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. 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. Use your skills to make an impact

Requirements

• Bachelor's degree in health and human services field
• 2+ years of related health care experience
• Will travel within Dane and surrounding counties

Nice To Haves

• Previous home health, managed care or case management experience
• Previous experience working with persons with disabilities and/or older adults in a health care setting
• 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).
• 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.
• Help with 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.
• 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.

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.

What This Job Offers

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