Float Case Manager

Humana is seeking a Float Case Manager to support members across diverse populations by providing flexible, telephonic, and virtual case management. In this role, you will rotate among teams and lines of business, performing comprehensive assessments, creating person-centered care plans, and coordinating services that improve access, quality, and outcomes. You will partner with clinicians, community resources, and families to address medical, behavioral, and social needs.

In Humana's inclusive, member-focused culture, you'll use data, clinical insight, and collaboration to reduce avoidable hospitalizations, close care gaps, and help members achieve their health goals while growing your career within a supportive, learning-focused environment.

Responsibilities

• Provide telephonic and virtual case management support across multiple lines of business as a float resource
• Assess members' health, psychosocial, and environmental needs using standardized tools
• Develop and update individualized care plans in collaboration with members, families, and providers
• Coordinate services, benefits, and community resources to close care gaps and reduce hospitalizations
• Monitor member progress, document interactions, and track outcomes within Humana's systems
• Collaborate with interdisciplinary teams including nurses, social workers, and physicians
• Educate members on conditions, medications, and self-management strategies
• Prioritize and manage a dynamic caseload based on acuity and organizational needs
• Ensure compliance with regulatory, HIPAA, and Humana policies and guidelines
• Use data and analytic tools to identify risks, trends, and opportunities for improved care

Required Skills

• Case management
• Clinical assessment
• Care planning
• Utilization management
• Electronic health records (EHR) documentation
• Care coordination
• Knowledge of Medicare and Medicaid
• Motivational interviewing
• Data and outcomes tracking
• Regulatory and HIPAA compliance