Functional Screener- Milwaukee

Humana Inc; Wisconsin; On-site; USD 54,000 - 73,000; Full time

Benefits offered by this job

Mileage reimbursement

Travel up to 50%

Job summary

Humana Inc. is seeking a Long Term Care Functional Screen Specialist to support Wisconsin Family Care programs. You will use the DHS screening tool to assess member needs and determine level of care, with field work in Milwaukee and surrounding areas.

The role requires a four-year degree or Wisconsin RN with Family Care experience, LTCFS certification, and willingness to travel up to 50%. Typical hours are Monday–Friday, 8:00 am–4:30 pm CST, with mileage reimbursement and occasional office

Qualifications

• Bachelor’s degree in a Health or Human Services field with 1 year of Family Care experience OR Wisconsin RN with 1 year of Family Care experience.
• LTCFS certification required; must complete online screener training and become certified.
• Experience with DHS screening tools and documentation practices.

Responsibilities

• Schedule member appointments for annual/change-based determinations.
• Use the DHS screening tool to assess functional abilities, health and supports.
• Enter assessment data into the online system and determine level of care.
• Submit documentation per guidelines and participate in trainings.
• Maintain screen integrity and participate in QA activities.
• Travel up to 50% within Milwaukee and surrounding areas; field work.

Education

Bachelor’s degree in Health or Human Services related field (4-year)

Wisconsin Registered Nurse license (with 1 year Family Care experience)

LTCFS certification

Job description

Become a part of our caring community Are you ready to make a difference in your career and your community? Humana is looking for a passionate Long Term Care Functional Screen Specialist to join our team, supporting members in the Wisconsin Family Care and Family Care Partnership programs. Reporting to the Supervisor, Care Coaching, you will use the State Department of Health Services (DHS) screening tool to assess member needs and eligibility—directly affecting their quality of life and access to essential care.

Main responsibilities

• Schedule member appointments for annual or change-based functional eligibility re-determinations, optimizing time and travel resources.
• Use the DHS screening tool to assess members' functional abilities, health, and required supports.
• Collaborate with staff to ensure assessment data aligns with internal records.
• Conduct in-home, face-to-face interviews and enter assessment data into the designated online system to determine level of care.
• Submit documentation promptly and accurately according to the established guidelines.
• Attend meetings and training to stay updated on processes, screening tools, and state directives.
• Participate in quality assurance activities to maintain screening competence and reliability.
• Maintain required certification through ongoing skills testing, per State of Wisconsin standards.
• Demonstrate professionalism and respect in documentation and assessments, preserving screen integrity.
• 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.
• Long Term Care Functional Screener (LTCFS) certification-Selected individual must meet requirements and successfully complete online screener certification training course(s) and become certified as a functional screener.

Preferred Qualifications

• LTCFS Certified
• Previous Family Care case management/screener experience

Additional Information

• Workstyle: Field Work
• Location: Milwaukee
• Travel: up to 50% throughout Milwaukee and surrounding areas.
• Typical Work Days/Hours: Monday – Friday, 8:00 am – 4:30 pm CST

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.
• Mileage reimbursement is provided for work-related travel.
• Eligible mileage includes:
  • Travel from your home to your first work location of the day.
  • Travel between client or assignment locations during the workday.
  • Travel from your final work location back to your home.

TB Screening

• 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.

Work at Home 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 required; wireless, wired cable or DSL connection is suggested.
• In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs.
• Humana reserves the right to require associates to upgrade their internet service if necessary.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours / 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, 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 a leading U.S. healthcare 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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.