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Posted : Friday, May 10, 2024 09:21 PM
Humana is seeking a Community Management Professional to join the Wisconsin Medicaid Market (iCare) team.
The Community Management Professional provides high touch support and coordination to designated iCare members, including helping members navigate and access community services, other resources, and adopt healthy behaviors.
The Community Management Professional helps to develop and maintain partnerships with community-based organizations and assists members to connect with needed services.
Join this dedicated team and lead change in how health care for the underserved in Wisconsin is managed.
* Conducts member outreach and engagement activities to designated members, including face-to-face, mail and telephone contact.
* Conducts initial and periodic needs assessments, including assessing barriers, basic needs and assets (e.
g.
Social Determinants of Health), member and/or family/caregiver preferences, language, literacy and cultural preferences.
* Contributes to the development and execution of the member-centered care plan, including assisting members to understand plan and instructions, and tailors communication to appropriate health literacy levels.
* Promotes member adherence through assessing member’s readiness to change, assisting member in making changes to daily routines, identifying barriers, and assisting member with developing strategies to address barriers.
* Develops and maintains extensive knowledge of the Care Coordination Model of Care and state and federal regulations for Interdisciplinary Care Team (ICT) activities.
* Assists member with navigating health care and social service systems and coordinate access to basic needs (e.
g.
housing, food, income, including arranging for transportation and scheduling and accompanying members to appointments).
* Identifies available community-based resources and actively manages appropriate referrals, access, engagement, follow-up and coordination of services.
*Required Qualifications* * One (1) year of direct experience working with people with physical, developmental, or mental disabilities.
* Knowledge of available social services and resources in the Dane, Rock, and/or Sauk County areas.
* Experience collecting and documenting data and information.
* Experience utilizing Microsoft Office, specifically Outlook, Teams, and Excel.
* Ability to travel within the designated community.
*Preferred Qualifications: * * Certification as a Community Health Worker.
* Health education skills, knowledge of health promotion and wellness, knowledge of chronic disease prevention and management and knowledge of health condition-specific treatment or management.
* Bilingual in Spanish.
*Additional Information* * *Workstyle: *Field.
Associates perform their core duties at one or more non-Humana/iCare locations.
* *Work Location: *must reside within the Dane/Rock/Sauk Counties area.
* *Travel: *up to 75% of the time primarily throughout Dane, Rock, and Sauk Counties.
May include travel outside of these counties on occasion.
* *Typical Work Days/Hours: *Monday – Friday, 8:30 am – 5:00 pm CST.
*WAH 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.
Job Type: Full-time Pay: $44,200.
00 - $55,000.
00 per year Benefits: * 401(k) matching * Dental insurance * Employee assistance program * Employee discount * Flexible spending account * Health insurance * Health savings account * Life insurance * Paid time off * Parental leave * Professional development assistance * Tuition reimbursement * Vision insurance Patient demographics: * Adults * Children * Older adults Payment frequency: * Paid biweekly Schedule: * 8 hour shift * Monday to Friday Experience: * working with disabilities.
: 1 year (Required) * Knowledge of social services & resources in WI: 1 year (Required) * Microsoft Office: Outlook, Teams, and Excel: 1 year (Required) Ability to Relocate: * Janesville, WI: Relocate before starting work (Required) Willingness to travel: * 75% (Required) Work Location: In person
The Community Management Professional provides high touch support and coordination to designated iCare members, including helping members navigate and access community services, other resources, and adopt healthy behaviors.
The Community Management Professional helps to develop and maintain partnerships with community-based organizations and assists members to connect with needed services.
Join this dedicated team and lead change in how health care for the underserved in Wisconsin is managed.
* Conducts member outreach and engagement activities to designated members, including face-to-face, mail and telephone contact.
* Conducts initial and periodic needs assessments, including assessing barriers, basic needs and assets (e.
g.
Social Determinants of Health), member and/or family/caregiver preferences, language, literacy and cultural preferences.
* Contributes to the development and execution of the member-centered care plan, including assisting members to understand plan and instructions, and tailors communication to appropriate health literacy levels.
* Promotes member adherence through assessing member’s readiness to change, assisting member in making changes to daily routines, identifying barriers, and assisting member with developing strategies to address barriers.
* Develops and maintains extensive knowledge of the Care Coordination Model of Care and state and federal regulations for Interdisciplinary Care Team (ICT) activities.
* Assists member with navigating health care and social service systems and coordinate access to basic needs (e.
g.
housing, food, income, including arranging for transportation and scheduling and accompanying members to appointments).
* Identifies available community-based resources and actively manages appropriate referrals, access, engagement, follow-up and coordination of services.
*Required Qualifications* * One (1) year of direct experience working with people with physical, developmental, or mental disabilities.
* Knowledge of available social services and resources in the Dane, Rock, and/or Sauk County areas.
* Experience collecting and documenting data and information.
* Experience utilizing Microsoft Office, specifically Outlook, Teams, and Excel.
* Ability to travel within the designated community.
*Preferred Qualifications: * * Certification as a Community Health Worker.
* Health education skills, knowledge of health promotion and wellness, knowledge of chronic disease prevention and management and knowledge of health condition-specific treatment or management.
* Bilingual in Spanish.
*Additional Information* * *Workstyle: *Field.
Associates perform their core duties at one or more non-Humana/iCare locations.
* *Work Location: *must reside within the Dane/Rock/Sauk Counties area.
* *Travel: *up to 75% of the time primarily throughout Dane, Rock, and Sauk Counties.
May include travel outside of these counties on occasion.
* *Typical Work Days/Hours: *Monday – Friday, 8:30 am – 5:00 pm CST.
*WAH 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.
Job Type: Full-time Pay: $44,200.
00 - $55,000.
00 per year Benefits: * 401(k) matching * Dental insurance * Employee assistance program * Employee discount * Flexible spending account * Health insurance * Health savings account * Life insurance * Paid time off * Parental leave * Professional development assistance * Tuition reimbursement * Vision insurance Patient demographics: * Adults * Children * Older adults Payment frequency: * Paid biweekly Schedule: * 8 hour shift * Monday to Friday Experience: * working with disabilities.
: 1 year (Required) * Knowledge of social services & resources in WI: 1 year (Required) * Microsoft Office: Outlook, Teams, and Excel: 1 year (Required) Ability to Relocate: * Janesville, WI: Relocate before starting work (Required) Willingness to travel: * 75% (Required) Work Location: In person
• Phone : NA
• Location : Janesville, WI
• Post ID: 9150235568
