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

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.

Required Qualifications:

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.

Preferred Qualifications:

Reside within 45 mins 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.

Additional Information:

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.

Case Manager

Skills