Float Case Manager

Humana seeks a Float Case Manager to support members across multiple teams and regions, ensuring consistent, high-quality care management. In this role, you will assess medical, behavioral, and social needs; develop individualized care plans; and coordinate services across providers, pharmacies, and community resources. You will educate members on benefits and care options, close care gaps using data-driven insights, and document activity to meet regulatory and quality standards.

Working in a collaborative, member-focused culture, you'll help improve health outcomes while enjoying strong benefits, flexibility, and growth opportunities.

Responsibilities

• Provide float case management support across assigned regions and teams
• Assess member needs and create individualized care plans
• Coordinate medical, behavioral health, and social services
• Educate members on Humana benefits, resources, and care options
• Monitor progress, adjust care plans, and close care gaps
• Use data and documentation tools to track outcomes and compliance
• Collaborate with providers, pharmacies, and community resources
• Escalate high-risk or complex cases as needed

Required Skills

• Case management
• Care coordination
• Utilization management
• Clinical assessment and triage
• Electronic health record (EHR) documentation
• Health insurance and benefits knowledge
• Behavioral health and social determinants screening
• Care planning and goal setting
• Regulatory and compliance documentation
• Data analysis and reporting