Case Manager- Dane/Columbia

Humana•Portage, WI

6d•$53,700 - $72,600•Remote

About The Position

Humana is seeking a Case Manager for the Inclusa/Humana team serving members in Wisconsin’s Family Care (FC) program in Dane and Columbia Counties. Reporting to the Manager of Care Coaching, the Case Manager provides comprehensive services to frail elders and adults with intellectual, developmental, or physical disabilities. The position is remote, with travel to members’ locations and occasional travel to Humana offices for training or meetings. Workdays are typically Monday through Friday, 8:00 a.m. to 4:30 p.m. CST, for 40 hours per week. The role includes up to 40% travel, with mileage reimbursement for qualifying work-related travel. This is a patient-facing role requiring TB screening. Employees working from home must use a dedicated space that protects member PHI/HIPAA information and have internet service with at least 25 Mbps download and 10 Mbps upload speeds.

Requirements

Bachelor’s degree in human services or a related field and 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 and at least 3 years of such experience.
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.
Complete TB screening if selected for the role.
For home-based work, maintain internet service with at least 25 Mbps download and 10 Mbps upload speeds and work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information.

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 address 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 at enrollment and at least every six months, typically at the member’s residence.
Conduct quarterly in-person visits to members’ homes 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 documentation, including case notes, service authorizations, and updates to the MCP.