Case Manager/Care Coach - Family Care Partnership (FCP)

Employment Type: Full time

Location Type: [Not specified] Salary: [Not specified]

Position Overview

Humana/iCare is seeking a Case Manager/Care Coach to join the growing Milwaukee County team in the Family Care Partnership (FCP) program. The FCP Case Manager/Care Coach provides comprehensive care management services to adults with disabilities and the frail elderly. This role involves assessment, service plan development, ongoing care coordination, quality assurance, and monitoring of services. You will collaborate with the Interdisciplinary Team (IDT) and other Partnership staff to help members and their families identify service needs and access medical, social, rehabilitation, vocational, educational, and other services to achieve their desired outcomes.

Responsibilities

• Conduct psychosocial assessments as part of the comprehensive assessment process.
• Utilize the Resource Allocation Decision making methodology (RAD) to help members identify preferred outcomes and potential strategies, including community resources and cost-effective services or equipment.
• Coordinate and monitor services and resources to meet member outcomes and track progress.
• Conduct periodic reassessments and updates of the member’s care plan.
• Monitor member’s health and safety.
• Assist members or their representatives in filing complaints, grievances, and obtaining advocacy services.
• Document member information and all contacts made regarding member’s care and services provided, adhering to policy, procedure, workflows, audit requirements, and timeframes.
• Build constructive working relationships with members, their families, and appropriate outside agency staff.
• Facilitate collaboration with the member’s physician or appropriate medical professionals to coordinate care.
• Assist in problem resolution between members and providers.
• Educate members and providers regarding benefits, service providers, protocols for accessing resources, and the appropriate use of medical services.
• Provide referrals for community resources and social services as necessary.
• Actively monitor member’s ability and willingness to engage in treatment regimes and problem-solve with staff, members, and providers to find alternatives or solutions.

Requirements

The Case Manager/Care Coach must meet one of the following qualifications:

• Social Worker certified in Wisconsin with a minimum of one (1) year of experience working with at least one of the Family Care target group populations.
• 4-year bachelor’s degree or higher in a Human Services area and a minimum of one (1) year of experience working with at least one of the Family Care target populations.
• 4-year bachelor’s degree or higher in any area other than human services with a minimum of three (3) years of experience working with at least one of the Family Care populations.

The Family Care target group population is defined as: Frail Elders, Physically Disabled, or Intellectually/Developmentally Disabled

The Case Manager/Care Coach must also meet all of the following qualifications:

• Knowledge of community resources available to meet member needs and a thorough understanding of long-term care options in the community.
• Ability to travel to any location within Milwaukee County to conduct assessments in members’ residences.
• Previous experience working with Microsoft Outlook, Word, Teams, and Excel.

Additional Information:

• This role is considered patient-facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Company Information

Humana/iCare is a caring community dedicated to putting health first. Join us to improve the lives of others and develop your skills.