Float Case Manager

Humana • Sparta, WI

1d • $59,300 - $80,900 • Remote

About The Position

Humana is seeking an experienced Case Manager with Family Care experience to serve as a Float Case Manager within the Inclusa/Humana team, serving members in the Wisconsin Family Care (FC) program. In this dynamic role, you will collaborate with dedicated colleagues to deliver care and empower our members to excel in their daily lives. You will be a "float" associate and cover caseloads for team members in the SW Pod 2 region (Trempealeau, Jackson, La Crosse, Monroe, and Clark counties) that have exited their role or those on a leave. Take your managed care experience to the next level with us!

Requirements

• Four-year bachelor's degree in the Human Services or related field with one (1) year of experience working with at least one of the Family Care target populations OR a four-year bachelor's degree in any other field with three (3) years' related experience working with at least one of the Family Care target populations.
• 3 or more years of Family Care experience
• Must reside in or near the SW region of WI
• Valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
• Minimum download speed of 25 Mbps and an upload speed of 10 Mbps for internet service.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

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

• medical
• dental
• vision
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance
• mileage reimbursement

What This Job Offers

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