LTC Functional Screener

HumanaViroqua, WI
29dRemote

About The Position

Become a part of our caring community and help us put health first Are you ready to make a difference in your career and your community? Humana is looking for a passionate Long Term Care Functional Screen Specialist to join the Inclusa team, supporting members in the Wisconsin Family Care program (Vernon County) In this dynamic role, you’ll use the State Department of Health Services (DHS) screening tool to assess member needs and eligibility—directly impacting their quality of life and access to essential care. Join us and help empower individuals to live their best lives! 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. Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our 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, Medicaid, families, individuals, military service personnel, and communities at large.

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 successfully 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

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 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 and accurately 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.
  • Demonstrate professionalism and respect in documentation and assessments, preserving screen integrity.

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.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

5,001-10,000 employees

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