Case Manager- Green/Lafayette

Humana•Monroe, WI

11d•Remote

About The Position

Humana is hiring a Case Manager for its Inclusa/Humana team to serve members in Wisconsin’s Family Care program in Green and Lafayette counties. Reporting to the Manager of Care Coaching, the Case Manager provides comprehensive case management to frail elders and adults with intellectual, developmental, or physical disabilities. The role assesses members’ health and safety needs, identifies their strengths, interests, and preferences, and develops a Member Care Plan (MCP) in coordination with a Field Care Nurse. Services are arranged to support members in the least restrictive environment and address medical, social, and community needs. The position involves regular member contact, including face-to-face social assessments upon enrollment and at least every six months, quarterly in-person visits, and monthly phone contact. Travel may comprise up to 40% of work time, primarily to members’ locations. This is a remote position with 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. Mileage reimbursement is provided for eligible work-related travel. The role is patient-facing and requires TB screening. Home-based employees must have a dedicated workspace that protects member PHI/HIPAA information and internet service with at least 25 Mbps download and 10 Mbps upload speeds. The listed annual base-pay range is $53,700–$72,600, with individual pay varying according to location and job-related qualifications. Humana offers medical, dental, and vision benefits; a 401(k) retirement savings plan; paid time off and company and personal holidays; paid parental and caregiver leave; short- and long-term disability; life insurance; and other benefits.

Requirements

Bachelor’s degree in human services or a related field and 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 and at least 3 years of such experience.
Travel up to 40% of work time to visit members.
Valid state driver’s license.
Proof of personal vehicle liability insurance with at least 100/300/100 limits.
Complete TB screening if selected for the patient-facing role.
For home-based work, maintain internet service with at least 25 Mbps download and 10 Mbps upload speeds and work from a dedicated space that protects 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 and identify their strengths, interests, and preferences to develop a comprehensive Member Care Plan (MCP).
Coordinate with a Field Care Nurse to address members’ health and safety needs and support services in the least restrictive environment consistent with the MCP.
Conduct face-to-face social assessments upon enrollment and at least every six months, typically at the member’s residence.
Conduct quarterly in-person home visits and maintain monthly contact with members 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.