Telephonic Case Manager

Humana • Work at Home - Wisconsin, WI

1d • $53,700 - $72,600 • Remote

About The Position

Join our team at Humana as a Telephonic Case Manager! You'll work from home, connecting with members over the phone, support their care journeys, and help affect their health and well-being. You'll collaborate with a caring team, build your skills, and bring your empathy to every conversation. You will report directly to the Manager of Care Management Support, who will support your success.

Requirements

• Bachelor's degree in health and human services field
• 2 or more years of case management experience
• Must reside within the State of WI

Nice To Haves

• Bilingual
• Prior experience with Medicare & Medicaid recipients
• Prior Behavioral Health experience
• Previous experience with electronic case note documentation
• Knowledge of community health and social service agencies and additional community resources

Responsibilities

• Conduct initial and annual assessments of members' medical, behavioral and social needs.
• Coordinates and organizes information from members' assessment to develop a care plan that addresses their needs and assures implemented interventions are collaborated with members and their providers/supports.
• Builds constructive working relationships with physicians, social service providers and others by involving them in the Care Coordination process and assists in problem resolution involving members and providers as a member advocate including information for the member grievance process.
• Review, monitors and updates care plans as indicated.
• Provide information to members and providers regarding benefits, service providers and access protocols and educate members on appropriate use of medical services.
• Provide referrals for community resources and social services.
• Document member information and contacts made regarding member's care and services provided.
• Monitor member's willingness to participate in treatment regimes, and problem solves with staff, members and providers, alternatives or solutions to their needs.
• Conduct follow up calls post hospitalization and emergency room visits according to policy.
• Contribute to interdisciplinary iCare team meetings as either a participant or a facilitator.
• Educate members on preventive health guidelines and programs.

Benefits

• medical
• dental
• 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

What This Job Offers

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