Case Manager- Viroqua / Vernon County region

Humana•Viroqua, WI

13d•Remote

About The Position

Humana is hiring a Case Manager within the Inclusa/Humana team to serve members in Wisconsin’s Family Care program. The role provides comprehensive case management to frail elders and adults with intellectual, developmental, or physical disabilities. The Case Manager assesses member needs and coordinates supports with a Field Care Nurse to help members receive care in the least restrictive environment and according to their Member Care Plan (MCP). This is primarily a work-from-home position serving Viroqua and the surrounding Vernon County area, with required member visits and travel of up to 40%. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. CST. The role requires member-facing work and participation in Humana’s TB screening program. Mileage reimbursement is provided for eligible work-related travel.

Requirements

A bachelor’s degree in human services or a related field and at least one 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 three years of such experience.
Valid state driver’s license.
Proof of personal vehicle liability insurance with minimum limits of 100/300/100.
For home-based work, a dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information.
Self-provided internet service with minimum download speed of 25 Mbps and upload speed of 10 Mbps.

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 other 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 care in the least restrictive environment in accordance 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 case notes, service authorizations, and MCP updates.