Description

　　Humana is seeking a Care Coordinator to join the Wisconsin Medicaid Market (iCare) team. The Care Coordinator provides care coordination services to meet medical, behavioral health and social needs of members while promoting and maintaining the quality of care for members. Join this dedicated team and lead change in how health care for the underserved in Wisconsin is managed.

　　Responsibilities

　　Conducts initial and annual assessments of members' medical, behavioral and social needs. Coordinates and organizes information from members' assessment to develop a care plan that addresses their needs and assures implemented interventions are collaborated with members and their providers/supports.Builds constructive working relationships with physicians, social service providers and others by involving them in the Care Coordination process and assists in problem resolution involving members and providers as a member advocate, including information for the member grievance process.Reviews, monitors and updates care plans as indicated.Provides information to members and providers regarding benefits, service providers and access protocols and educates members on appropriate use of medical services. Provides referrals for community resources and social services as necessary.Documents member information and contacts made regarding member's care and services provided.Actively monitors member's ability and willingness to engage in treatment regimes, and problem solves alternatives or solutions to their needs. with staff, members and providers,Conducts follow up calls post hospitalization and emergency room visit according to policy.Educates members on preventive health guidelines and programs.

　　Required Qualifications

　　Bachelor's degree in social service, rehabilitation, psychology, other related social or human service degree.Health care or social work experience.Previous experience working with Microsoft Office, including Outlook, Teams, and Excel.

　　Preferred Qualifications

　　Previous experience working with persons with disabilities in a health care or social service setting.Experience completing intake or initial assessments.Bilingual English/Spanish or English/Hmong.General knowledge of Medicaid and Medicare benefits.

　　Additional Information

　　Workstyle: This is a hybrid home position where employees primarily work from their home office, occasionally using company office space for collaboration and face-to-face needs. #LI-HybridWork Location: must reside in Wisconsin.Travel: may require travel weekly to closest Humana/iCare office location.Typical Work Days/Hours: Monday - Friday, 8:30 am - 5:00 pm CST

　　WAH Internet Requirements

　　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 recommended; wireless, wired cable or DSL connection is suggested.Satellite, cellular and microwave connection can be used only if approved by leadership.Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

　　Benefits

　　Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:

　　Health benefits effective day 1Paid time off, holidays, volunteer time and jury duty payRecognition pay401(k) retirement savings plan with employer matchTuition assistanceScholarships for eligible dependentsParental and caregiver leaveEmployee charity matching programNetwork Resource Groups (NRGs)Career development opportunities

　　Modern Hire

　　As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

　　SSN Alert

　　Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana's secure website.

　　#LI-JP1

　　Scheduled Weekly Hours

　　40