Case Manager

Join Humana as a Case Manager within the Inclusa/Humana team, where you will serve members in the Wisconsin Family Care (FC) program.

As a Case Manager, you will provide comprehensive case management services to frail elders and adults with intellectual, developmental, or physical disabilities.

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.
• Travel to members' locations to conduct face-to-face social assessments with members upon enrollment and at minimum, every six months, typically at the member's residence.
• Travel to members' homes to 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.

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.
• Travel up to 40% of your time to visit members.
• Valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.

Benefits:

• Medical, dental, and vision benefits
• 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

Pay Range: $53,700 - $72,600 per year