Case Manager- Eau Claire

Humana•Eau Claire, WI

4d•$53,700 - $72,600•Remote

About The Position

Humana is hiring a Case Manager on the Inclusa/Humana team to serve members in Wisconsin’s Family Care program in Eau Claire and surrounding areas. The role provides comprehensive case management to frail elders and adults with intellectual, developmental, or physical disabilities. It reports to the Manager of Care Coaching and works with a Field Care Nurse to coordinate person-centered support in the least restrictive environment. The position is remote, with visits to members’ homes and occasional travel to Humana offices for training or meetings.

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.
Travel up to 40% of the time to visit members.
Valid state driver’s license.
Proof of personal vehicle liability insurance with at least 100/300/100 limits.
Ability to meet the patient-facing role’s TB screening requirement.
For home or hybrid work, self-provided internet service with at least 25 Mbps download and 10 Mbps upload, and a dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information.

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 ensure services address members’ health and safety needs and follow the MCP in the least restrictive environment.
Travel to members’ locations for face-to-face social assessments upon enrollment and at least every six months, typically at members’ residences.
Conduct quarterly in-person home visits and maintain monthly phone contact with members.
Arrange support services for 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 case notes, service authorizations, and updates to the MCP.