Case Manager- Eau Claire

Humana•Eau Claire, WI

3d•Remote

About The Position

Humana is hiring a Case Manager to serve members in the Wisconsin Family Care program as part of the Inclusa/Humana team. The role provides comprehensive case management to frail elders and adults with intellectual, developmental, or physical disabilities in Eau Claire and surrounding areas. The Case Manager works with a Field Care Nurse and other supports to address members’ health, safety, and non-medical needs, promote support in the least restrictive environment, and maintain each member’s care plan. The position is remote, with regular travel to members’ locations and occasional travel to Humana offices for training or meetings. The role reports to the Manager of Care Coaching.

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 the time to visit members.
Valid state driver’s license.
Proof of personal vehicle liability insurance with at least 100/300/100 limits.
For remote work, self-provided internet with at least 25 Mbps download and 10 Mbps upload speed; a dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information.
Participation in Humana’s TB screening program, including screening if selected.

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 arrange services addressing members’ health and safety needs and support members in the least restrictive environment in accordance with the MCP.
Travel to members’ locations for face-to-face social assessments upon enrollment and at least every six months, typically at the member’s residence.
Conduct quarterly in-person visits to 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.
Travel to members and occasionally to Humana offices for training or meetings.