Humana is a healthcare company whose Inclusa/Humana team serves members in the Wisconsin Family Care program. The Case Manager provides comprehensive case management for frail elders and adults with intellectual, developmental, or physical disabilities by assessing needs, developing care plans, coordinating services, and connecting members with community resources.
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
Qualification
Required
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
Valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits
Preferred
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
Benefits
Medical benefits
Dental benefits
Vision benefits
401(k) retirement savings plan
Paid time off
Company holidays
Personal holidays
Paid parental leave
Paid caregiver leave
Short-term disability
Long-term disability
Life insurance
Mileage reimbursement for work-related travel, including travel from home to the first work location, travel between client or assignment locations during the workday, and travel from the final work location back home
Remote work, with occasional travel to Humana's offices for training or meetings
Humana is a health insurance provider for individuals, families, and businesses.
