Case Manager- Rhinelander

Humana • Rhinelander, WI

1d

About The Position

Become a part of our caring community and help us put health first 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. Job Description Main 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. Use your skills to make an impact

Requirements

• 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.
• 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 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

• 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