Case Manager- Fort Atkinson/Jefferson

Humana•Whitewater, WI

21h•$53,700 - $72,600•Remote

About The Position

Humana is seeking a compassionate, organized, and experienced Case Manager to serve members in Wisconsin’s Family Care (FC) program. 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 is remote, covers Jefferson County, and involves travel of up to 40%. Typical workdays are Monday through Friday, 8:00 a.m. to 4:30 p.m. CST, for 40 scheduled hours per week. The Case Manager assesses members’ health and safety needs, develops and maintains Member Care Plans, coordinates services with a Field Care Nurse, and connects members with medical and non-medical supports. The position includes regular in-person visits, telephone contact, service coordination, risk evaluation, member education, and accurate documentation. Work-related mileage is reimbursed. The role is patient-facing and requires TB screening. Remote employees must have qualifying internet service and a dedicated workspace that protects member PHI and HIPAA information; occasional travel to Humana offices for training or meetings may be required.

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.
Valid state driver’s license.
Proof of personal vehicle liability insurance with at least 100/300/100 limits.

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 address members’ health and safety needs and ensure support is provided in the least restrictive environment according to 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 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 case notes, service authorizations, and updates to the MCP.