Care Coach 1 at Humana

Viroqua, Wisconsin, United States

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Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

Healthcare, Long Term CareIndustries

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 (frail elders and adults with intellectual, developmental, or physical disabilities) 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
Maintain required certification through ongoing skills testing, per State of Wisconsin standards

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 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
Demonstrate professionalism and respect in documentation and assessments, preserving screen integrity

Skills

Key technologies and capabilities for this role

Long Term Care Functional Screener certificationDHS screening toolfunctional eligibility assessmentsin-home interviewshealth and human servicesRegistered NurseFamily Care program

Questions & Answers

Common questions about this position

What qualifications are required for the Care Coach 1 position?

Candidates need a four-year bachelor’s degree in a Health or Human Services related field with one year of experience working with Family Care target populations, or be a Wisconsin licensed Registered Nurse with one year of similar experience. Additionally, the selected individual must obtain Long Term Care Functional Screener (LTCFS) certification through required training.

Is this a remote position, and what is the work location?

This is a field position where core duties are performed at non-company locations like members' homes, primarily in Vernon County and surrounding areas including Viroqua, Westby, Coon Valley, De Soto, Chaseburg, and Ontario.

What are the typical work hours and travel requirements?

The typical schedule is Monday through Friday, 8:00 am to 4:30 pm CST, with up to 50% travel throughout Vernon County, WI and surrounding areas.

What preferred qualifications will make me stand out?

Being LTCFS Certified and having previous Family Care case management or screener experience are preferred.

What is the salary or compensation for this role?

This information is not specified in the job description.

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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