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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in developing comprehensive Member Care Plans and conducting social assessments while ensuring compliance with HIPAA regulations. Proficient in coordinating services and resources to support members' health and safety needs in a community setting.
Highest-signal resume keywords
Case Management ExperienceElectronic Case Note DocumentationKnowledge of Community Health AgenciesBachelor's Degree in Human ServicesValid State Driver's License
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Member Care Plan DevelopmentSocial Assessment ConductingRisk Factor EvaluationService Authorization MaintenanceCost-Effective Service Delivery
Soft Skills
Interpersonal CommunicationEmpathyOrganizational Skills
Tools & Technologies
Electronic Documentation Systems
Certifications & Qualifications
TB Screening
Industry Keywords
Health and Safety NeedsCommunity ResourcesSocial IntegrationFrail EldersIntellectual DisabilitiesDevelopmental DisabilitiesPhysical Disabilities
About the role
Key responsibilities & impact- Assess members' health and safety needs to identify strengths, interests, and preferences and develop a comprehensive Member Care Plan
- Coordinate with a Field Care Nurse to provide services addressing members' health and safety needs
- Provide support in the least restrictive environment in accordance with the Member Care Plan
- Conduct face-to-face social assessments upon enrollment and at least every six months, typically at members' residences
- Conduct quarterly in-person visits and maintain monthly phone contact with members
- Arrange support services related to social integration, community resources, employment, housing, and other non-medical needs
- Ensure cost-effective service delivery
- Evaluate risk factors and provide education to members
- Maintain accurate case notes, service authorizations, and Member Care Plan updates
- Serve members across Green Lake, Marquette, Adams, and Waushara Counties
- Travel up to 40%
Requirements
What you’ll need- Bachelor's degree in human services or a related field, with at least 1 year of experience serving frail elders or adults with intellectual, developmental, or physical disabilities
- Alternatively, a Bachelor's degree in another field with at least 3 years of such experience
- Valid state driver's license
- Proof of personal vehicle liability insurance with at least 100/300/100 limits
- Reside within 45 minutes or less of the assigned coverage area (preferred)
- Case Management experience (preferred)
- Experience with electronic case note documentation (preferred)
- Knowledge of community health and social service agencies and additional community resources (preferred)
- Ability to meet home internet requirements: minimum 25 Mbps download and 10 Mbps upload
- Ability to work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
- Required TB screening for this patient-facing role
- Ability to work Monday–Friday, 8:00 am–4:30 pm CST
Benefits
Comp & perks- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Mileage reimbursement for work-related travel
- Remote work arrangement
- Occasional travel to Humana offices for training or meetings
- Dedicated workspace and internet requirements for home working