Functional Screener- Madison, WI

Become a part of our caring community and help us put health first

Humana/iCare is seeking a Long Term Care Functional Screener to join the growing team in the Family Care Partnership (FCP) program. The Long Term Care Functional Screener (LTCFS) is responsible for conducting WI Adult Long Term Care Functional Rescreens for re-determination of members functional program eligibility. The Screener is responsible for screening members within the iCare Family Care Partnership service areas, as well as participate in all iCare and WI State LTCFS required compliance and quality assurance activities. Share your talents and develop your skills all while doing your part to improve the lives of others.

Essential Duties and Responsibilities:

• Coordinate appointments with members or legal representative to complete Annual and Enrollment redetermination of functional eligibility within member's home; conduct rescreens due to member change in functional abilities for redetermination of eligibility as identified by Interdisciplinary Team (IDT).
• Utilize established methodology of the Wisconsin LTCFS process to collect member-centered data regarding functional abilities, health status and needs-based use of personal and professional supports and verify consistency of member specific data between functional assessment and member's record to ensure members functional needs are accurately reflected.
• Collaborate with the IDT to ensure all assigned LTCFS rescreens are completed within the required time frame.
• Submit information collected during face-to face interview and collaborative verification into WI State internet-based program while maintaining compliance of state mandated timelines & appropriate professional utilization of LTCFS Instruction Manual.
• Effectively maintain updates of status to assigned members LTCFS rescreens on department spreadsheets to ensure adherence of State of WI and iCare LTCFS timeframes. Review Level of Care for iCare members including follow-up consultation with Grievance and Appeals or Enrollment/Eligibility/Fiscal staff.
• Provide appropriate notice of Member Rights, in accordance with contractual requirements, to members who experience a change in level of care that may impact the benefit package or overall program eligibility.
• Attend meetings and trainings as required to maintain & enhance knowledge of agency processes & the Long-Term Care Functional Screen.
• Maintain LTCFS certification via completion of WI biennial Continuing Skills Test.

Use your skills to make an impact

Required Qualifications

• 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

• The Family Care target group population is defined as: frail elders and adults with intellectual, developmental, or physical disabilities*

• Selected individual must meet requirements and successfully complete online screener certification training course(s) and become certified as a functional screener.

• Knowledge of Microsoft Office Word and Excel

• Exceptional verbal/written communication and interpersonal skills

• Ability to use a variety of electronic information applications/software programs

• 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.

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

• 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 100,000/300,000/100,000 limits.

Preferred Qualifications

• Current WI Adult LTCFS Certification or previous WI Adult LTCFS Certification.

Prior experience with Medicare & Medicaid recipients

• Previous experience with electronic case note documentation and experienced with documenting in multiple computer applications/systems
• Experience with health promotion, coaching and wellness
• Knowledge of community health and social service agencies and additional community resources

Additional Information

• Workstyle: This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes.

• Work Location: Dane County, Wisconsin and surrounding areas.

• Travel: up to 50% throughout Dane County, WI and surrounding areas.

• Typical Work Days/Hours: Monday- Friday, 8:00 am- 4:30 pm CST

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$53,700 - $72,600 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our 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.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and 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.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.