Case Manager, Dunn County WI

Humana • Eau Claire, WI

4d • Hybrid

About The Position

Join Humana as a Case Manager within the Inclusa/Humana team, where you will serve members in the Wisconsin Family Care (FC) program. Reporting to the Manager of Care Coaching, you will provide comprehensive case management services to frail elders and adults with intellectual, developmental, or physical disabilities. This role requires you to be a part of our caring community and make a difference together.

Requirements

• Applicants should reside within the Dunn County, Menomonie WI and surrounding areas.
• All candidates must be willing and able to travel up to 40% in the field as part of their regular responsibilities.
• A Bachelor's degree in human services or a related field is required, with 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 with at least 3 years of such experience is also acceptable.
• Must have a valid state driver's license and maintain personal vehicle liability insurance.
• Must have a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

• Reside within 45 mins 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 to identify their strengths, interests, and preferences to develop a comprehensive Member Care Plan (MCP).
• Coordinate with a Field Care Nurse to provide services that address members' health and safety needs, ensuring the team provides support in the least restrictive environment following the MCP.
• Conduct face-to-face social assessments with members upon enrollment and at minimum, 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 for members, including those 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 updates to the MCP.

Benefits

• medical, dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, volunteer time off, 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