Case Manager- La Crosse

Humana • Sparta, WI

2d • $53,700 - $72,600 • Remote

About The Position

Humana’s Inclusa team is hiring a Case Manager to support Wisconsin Family Care members in La Crosse County and surrounding areas. The Case Manager helps members navigate care and live as independently as possible by building relationships and coordinating services that support their health, independence, and personal goals. The role works with a Field Care Nurse and other supports to ensure members receive appropriate, cost-effective services in the least restrictive environment consistent with their Member Care Plan.

This is a remote position with occasional travel to Humana offices for training or meetings. The role includes travel of up to 40% and regular visits with members, typically at their residences. Workdays are Monday through Friday, 8:00 a.m. to 4:30 p.m. CST, for 40 hours per week. A $3,000 hiring bonus is offered, with $1,500 paid after 90 days and another $1,500 after nine months. Work-related mileage is reimbursed for specified travel between home and the first or final work location, and between work locations during the day. The role is patient-facing and requires TB screening. Home-based work requires a dedicated space that protects member PHI/HIPAA information and internet service meeting the stated minimum 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.
• Valid state driver’s license.
• Proof of personal vehicle liability insurance with at least 100/300/100 limits.
• Ability to meet the stated home-work internet requirements: at least 25 Mbps download and 10 Mbps upload, with a dedicated space free of ongoing interruptions to protect member PHI/HIPAA information.
• Ability to complete required TB screening for this patient-facing role.

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 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 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.

Benefits

• $3,000 hiring bonus, paid in two installments: $1,500 after 90 days and $1,500 after 9 months.
• Mileage reimbursement for eligible work-related travel.
• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off and company and personal holidays.
• Paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level