Case Manager-Rock/Jefferson

Humana•Fort Atkinson, WI

2d•$53,700 - $72,600•Remote

About The Position

Join Humana as a Case Manager on the Inclusa/Humana team, serving members in Wisconsin’s Family Care program. Reporting to the Manager of Care Coaching, you will provide comprehensive case management to frail elders and adults with intellectual, developmental, or physical disabilities in Rock and/or Jefferson counties. The position is remote, with travel of up to 40% to visit members and occasional travel to Humana offices for training or meetings. Typical workdays are Monday through Friday, 8:00 a.m. to 4:30 p.m. CST. The role is scheduled for 40 hours per week and includes face-to-face assessments and visits, phone contact, service coordination, and documentation. Mileage reimbursement is provided for eligible work-related travel. This patient-facing role requires TB screening. Home or hybrid workers 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.

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.
Participate in Humana’s driver safety program.
Complete TB screening if selected for the role.
For home or hybrid work, provide 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, 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 them in the least restrictive environment in accordance with the MCP.
Travel to members’ locations to 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 at members’ homes and maintain monthly phone contact with members.
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.