Case Manager- Green Bay

Humana • Green Bay, WI

3d • Hybrid

About The Position

Become a part of our caring community and help us put health first Join Humana as a Case Manager and make a difference within the Inclusa/Humana team, serving members in the Wisconsin Family Care (FC) program. Reporting to the Manager of Care Coaching, you will collaborate with dedicated colleagues to deliver care and empower our members to excel in their daily lives. You will provide comprehensive social service care management to frail elders and adults with intellectual, developmental, or physical disabilities who qualify for Wisconsin's FC program. Main responsibilities: Assess members to identify their strengths, interests, and preferences, focusing on health and safety needs 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. Schedule, conduct, and document 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. Communicate with members to better understand their needs, support informed decision-making, and ensure cost-effective service delivery. Prioritize safety by evaluating risk factors and providing education to members to promote overall health and wellness. Maintain accurate documentation including case notes, service authorizations, and updates to the Member Care Plan. Collaborate with service providers, natural supports, and other community partners to enhance member outcomes. Travel is necessary to conduct member visits and fulfill role responsibilities. Use your skills to make an impact

Requirements

• Bachelor's degree in Human Services or related field AND at least 1 year of experience working with frail elders or adults with intellectual, developmental, or physical disabilities OR Bachelor's degree in any other field AND at least 3 years of experience working with frail elders or adults with intellectual, developmental, or physical disabilities
• Valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.

Nice To Haves

• Case Management experience
• Experience with electronic case note documentation
• Knowledge of community health and social service agencies and additional community resources

Responsibilities

• Assess members to identify their strengths, interests, and preferences, focusing on health and safety needs 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.
• Schedule, conduct, and document 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.
• Communicate with members to better understand their needs, support informed decision-making, and ensure cost-effective service delivery.
• Prioritize safety by evaluating risk factors and providing education to members to promote overall health and wellness.
• Maintain accurate documentation including case notes, service authorizations, and updates to the Member Care Plan.
• Collaborate with service providers, natural supports, and other community partners to enhance member outcomes.
• Travel is necessary to conduct member visits and fulfill role responsibilities.

Benefits

• Humana provides 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 and many other opportunities.

What This Job Offers

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