Case Manager- WI Rapids

Humana•Wisconsin Rapids, WI

4d•Remote

About The Position

Humana is hiring a Case Manager for its Inclusa/Humana team to serve members in Wisconsin’s Family Care (FC) program. Reporting to the Manager of Care Coaching, the Case Manager provides comprehensive case management services to frail elders and adults with intellectual, developmental, or physical disabilities. The role is remote, with service coverage in WI Rapids, Wisconsin, and the surrounding area, and requires travel to members’ locations and occasional travel to Humana offices for training or meetings. The Case Manager assesses members’ health and safety needs, coordinates services with a Field Care Nurse, and arranges supports that help members live in the least restrictive environment while following their Member Care Plan (MCP). The position includes face-to-face social assessments, regular in-person and phone contact, arranging community and other non-medical supports, evaluating risk factors, and maintaining case documentation. The role is patient-facing and requires participation in Humana’s TB screening program. The scheduled workweek is 40 hours, Monday through Friday, 8:00 a.m. to 4:30 p.m. CST. Travel may account for up to 40% of work time. Mileage reimbursement is provided for eligible work-related travel, including travel between home and the first and final work locations of the day and travel between client or assignment locations. The stated annual pay range is $53,700–$72,600. Humana offers medical, dental and vision benefits, a 401(k) retirement savings plan, time off and holidays, paid parental and caregiver leave, short- and long-term disability, life insurance, and other benefits.

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.
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.
For home or hybrid home/office work, self-provided internet service with at least 25 Mbps download and 10 Mbps upload; a dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information.
Required TB screening if selected for this patient-facing role.

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 provide services addressing members’ health and safety needs and support them in the least restrictive environment in accordance with 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 contact with members by phone.
Arrange member 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 documentation, including case notes, service authorizations, and MCP updates.