Functional Screener- Madison

Humana • Madison, WI

4d • Remote

About The Position

Become a part of our caring community Are you ready to make a difference in your career and your community? Humana is looking for a Long Term Care Functional Screen Specialist to join the Inclusa team, where you will support members in the Wisconsin Family Care program. Reporting to the Supervisor, Care Coaching, you will use the State Department of Health Services (DHS) screening tool to assess member needs and eligibility.

About Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity® which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum.

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

Requirements

• Four-year bachelor's degree in a Health or Human Services related field with one (1) year of experience working with at least one of the Family Care target populations OR be a Wisconsin licensed Registered Nurse with one (1) year of experience working with at least one of the Family Care target populations.
• Long Term Care Functional Screener (LTCFS) certification-Selected individual must meet requirements and complete online screener certification training course(s) and become certified as a functional screener.
• The Family Care target group population is defined as: frail elders and adults with intellectual, developmental, or physical disabilities
• This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
• 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.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

• LTCFS Certified
• Previous Family Care case management/screener experience

Responsibilities

• Schedule member appointments for annual or change-based functional eligibility re-determinations, optimizing time and travel resources.
• Use the DHS screening tool to assess members' functional abilities, health, and required supports.
• Collaborate with staff to ensure assessment data aligns with internal records.
• Conduct in-home, face-to-face interviews and enter assessment data into the designated online system to determine level of care.
• Submit documentation promptly according to the established guidelines.
• Attend meetings and training to stay updated on processes, screening tools, and state directives.
• Participate in quality assurance activities to maintain screening competence and reliability.
• Maintain required certification through ongoing skills testing, per State of Wisconsin standards.

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
• Number of Employees: 5,001-10,000 employees