Case Manager- Fond du Lac

Become a part of our caring community

We are looking for a compassionate, organized, and experienced case manager to serve members in the Wisconsin Family Care 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 in Rice Lake and surrounding areas.

• Assess members’ health and safety needs to identify strengths, interests, and preferences and develop a comprehensive Member Care Plan (MCP).
• Coordinate with a Field Care Nurse to provide services that address members’ health and safety needs, ensuring support is delivered in the least restrictive environment following the MCP.
• Conduct face‑to‑face social assessments with members upon enrollment and at least 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 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.

• 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 is also acceptable.
• Valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits.

• Reside within 45 minutes or less of the assigned coverage area.
• Case management experience.
• Experience with electronic case note documentation.
• Knowledge of community health and social service agencies and additional community resources.

• Work Location: Fond du Lac, WI and surrounding area
• Travel: up to 40%
• Typical Workdays/
  
  Hours:
  
  Monday – Friday, 8:00 am – 4:30 pm CST

As part of Humana’s driver safety program, you must 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, including travel from home to the first work location of the day, between client or assignment locations during the day, and back home from the final work location.

This role is considered patient‑facing and is part of Humana’s Tuberculosis (TB) screening program. If selected, you will be required to be screened for TB.

Employees who work from home must provide an internet connection that meets the following criteria: a minimum download speed of 25 Mbps and an upload speed of 10 Mbps. Employees in California, Illinois, Montana, or South Dakota will receive a bi‑weekly payment for internet expenses. Work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information.

40 hours per week

$53,700 – $72,600 per year

Humana, Inc. offers competitive benefits including medical, dental, and vision coverage, a 401(k) retirement savings plan, paid time off, holidays, parental and caregiver leave, short‑term and long‑term disability, life insurance, and more.

Inclusa manages a person‑centered, community‑focused approach to long‑term care services for Family Care members across Wisconsin. Acquired by Humana in 2022, the partnership expands our model of support and care continuity.

Humana maintains a non‑discriminatory policy against any employee or applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. Humana also affirms affirmative action and bases all employment decisions only on valid job requirements.