Community Resource Coordinator- Janesville, WI
Work at Home - Wisconsin
Humana is seeking a Community Resource Coordinator (CRC), to join the Inclusa team to serve members in the Wisconsin Family Care (FC) program. In this role, you will be responsible for partnering with your fellow colleagues to provide top quality care to our members. They are looking to you in providing assistance when it comes to living their daily lives. The CRC provides comprehensive social service care management for frail elders and adults with intellectual, developmental or physical disabilities who qualify for Wisconsin’s FC program.
- Learn what is important to the member and support them in achieving it.
- Partner with a Health and Wellness Coordinator (RN) and collaborate on an ongoing basis regarding the member and their plan.
- Perform face-to-face social-related assessments for members upon enrollment and at least every 6 months thereafter in the member's setting.
- Coordinate, perform, and track quarterly face-to-face visits and monthly phone contacts.
- Participate in the development and ongoing review and coordination of the member's plan of care.
- Take the lead in areas related to social, community integration, employment, housing, and non-health related issues.
- Educate on and promote prevention/wellness and mitigate risk when assessed.
- Document activity and complete paperwork as required.
- Traveling will be required and eligible for mileage reimbursement.
Use your skills to make an impact
Required Qualifications
- Four-year bachelor’s degree in the Human Services or related field with one (1) year of experience working with at least one of the Family Care target populations OR a four-year bachelor’s degree in any other field with three (3) years’ related 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***
Preferred Qualifications
- Certification in social work
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: Janesville, Wisconsin and surrounding area.
- Travel: up to 40% throughout Janesville, WI and surrounding area.
- Typical Work Days/Hours: Monday – Friday, 8:00 am – 4:30 pm CST
Limited Geography Remote - This is a remote position but located within a specific geography.
WAH Internet Statement
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.
Driving
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 100/300/100 limits.
TB
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.
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 1
- Paid time off, holidays, volunteer time and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Parental and caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
HireVue
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue 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 Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity® which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum.
Scheduled Weekly Hours
40Pay 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.
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
About Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity® which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum.About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our 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 veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
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California Dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Field position Illinois Limited Geography Remote Montana Remote position South Dakota Specific geography required Valid state driver's license and proof of personal vehicle liability insurance Work from a dedicated space Work from a dedicated space lacking ongoing interruptions Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Work from Home in the state of California, Illinois, Montana, or South Dakota Workstyle
Benefits/Perks401k retirement 401k Retirement Savings Career development Career development opportunities Caring community Competitive benefits Dental Disability Employee charity matching Employee charity matching program Flexible packages Health benefits Health benefits effective day 1 Holidays Internet expense payment Jury duty pay Life Life Insurance Medical Mileage reimbursement Paid parental and caregiver leave Paid Time Off Parental and Caregiver Leave Personal holidays Recognition pay Remote position Scholarships Scholarships for eligible dependents Smart healthcare decisions Support whole-person well-being Telephone equipment provided Time off Tuition Assistance Variety of benefits Vision Vision Benefits Volunteer time Volunteer time off Work From Home
Tasks- Coordinate member's plan of care
- Document activities
- Educate on prevention/wellness
- Perform assessments
- Provide care management
- Training
Assessments BI Business Care management Community integration Compensation Dental Documentation Driver safety program Enrollment Face-to-face assessments Family Care Health and wellness Health and Wellness Coordination Health care Healthcare Healthcare services HIPAA Human services Insurance Integration Internet service management IT Leadership Life Insurance Managed Care Management Medicaid Medicare Network Organization Policy Prevention Recruitment Risk Risk mitigation RN Security Social service care management Social Work Technology Training Travel Vision Wellness
Experience1 years 3 years
EducationAssociate Bachelor’s degree in any other field Bachelor’s degree in human services Bachelor’s Degree in Related Field Business Education Healthcare Higher Human Services IT Management Related Field RN Social Work
CertificationsCertification in Social Work Driver's License Personal Vehicle Liability Insurance RN State driver's license Valid State Driver's License
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9