Case Manager- WI Rapids

Humana•Wisconsin Rapids, WI

6d•$53,700 - $72,600•Remote

About The Position

Humana is hiring a Case Manager for its Inclusa/Humana team, serving members in Wisconsin’s Family Care (FC) program. The role provides comprehensive case management to frail elders and adults with intellectual, developmental, or physical disabilities. Reporting to the Manager of Care Coaching, the Case Manager works with a Field Care Nurse and other supports to help members receive services in the least restrictive environment, guided by each member’s care plan. This is a remote position serving WI Rapids, Wisconsin, and the surrounding area, with travel of up to 40% to visit members. The schedule is Monday through Friday, 8:00 a.m.–4:30 p.m. CST, for 40 hours per week. Occasional travel to Humana offices for training or meetings may be required. Mileage reimbursement is provided for eligible work-related travel. The role is patient-facing and requires TB screening. Employees working from home must have an appropriate internet connection and a dedicated space that protects member PHI/HIPAA information.

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.
Ability to 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.

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 services in the least restrictive environment, following 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.
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 MCP updates.