Case Manager- Brown County

Humana • Green Bay, WI

16h • Remote

About The Position

Humana is hiring a Case Manager for its Inclusa team, serving members in Wisconsin’s Family Care program. The Case Manager provides comprehensive case management to frail elders and adults with intellectual, developmental, or physical disabilities in Brown County and surrounding areas. The role partners with a Field Care Nurse to coordinate supports that address members’ health and safety needs and follow each member’s care plan, with services delivered in the least restrictive environment.

The position includes face-to-face assessments and visits, ongoing phone contact, arranging non-medical and community-based supports, evaluating risks, and maintaining case documentation. It is remote, with travel to member locations and occasional travel to Humana offices for training or meetings. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. CST, for 40 hours per week. Work-related mileage is reimbursed.

Requirements

• A bachelor’s degree in human services or a related field and at least one year of experience serving frail elders or adults with intellectual, developmental, or physical disabilities; alternatively, a bachelor’s degree in another field and at least three years of such experience.
• Ability to travel up to 40% of the time to visit members.
• Valid state driver’s license.
• Proof of personal vehicle liability insurance with limits of at least 100/300/100.

Nice To Haves

• 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.

Responsibilities

• Assess members’ health and safety needs, 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 and follow the MCP in the least restrictive environment.
• Travel to members’ locations to conduct face-to-face social assessments at enrollment and at least every six months, typically at the member’s residence.
• Conduct quarterly in-person visits at members’ homes and maintain monthly contact by phone.
• Arrange support services 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 MCP updates.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, company and personal holidays, and paid parental and caregiver leave.
• Short-term and long-term disability insurance.
• Life insurance.
• Mileage reimbursement for work-related travel.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level