Case Manager

Become a part of our caring community and help us put health first
Join Humana as a Case Manager within the Inclusa/Humana team, where you will serve members in the Wisconsin Family Care (FC) program. Reporting to the Manager of Care Coaching, you will provide comprehensive case management services to frail elders and adults with intellectual, developmental, or physical disabilities.

Main responsibilities:

· Assess members health and safety needs to identify their strengths, interests, and preferences to develop a comprehensive Member Care Plan (MCP).

· Coordinate with a Field Care Nurse to provide services that address members' health and safety needs, ensuring the team provides support in the least restrictive environment following the MCP.

· Conduct face-to-face social assessments with members upon enrollment and at minimum, every six months, typically at the member's residence.

· Conduct quarterly in-person visits and maintain monthly contact with members by phone.

· Arrange support services for members, including those 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 documentation including case notes, service authorizations, and updates to the MCP.

Use your skills to make an impact

· A Bachelor's degree in human services or a related field is required, 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 is also acceptable.

· Valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits

Preferred Qualifications

· Case Management experience

· Experience with electronic case note documentation

· Knowledge of community health and social service agencies and additional community resources

Additional Information

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Work Location: Sparta, WI (Monroe County)

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Travel: up to 40%

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Typical Workdays/

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.

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 required; 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.

Hire Vue

As part of our hiring process for this opportunity, we will be using an interviewing technology called Hire Vue to enhance our hiring and decision-making ability. Hire Vue 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.

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…