Care Manager: Field & Community Support

Humana; United States; Remote; USD 54,000 - 73,000; Full time

Job summary

Humana is seeking compassionate case managers to support Wisconsin Family Care members, focusing on frail elders and individuals with disabilities. You will assess needs, develop MCPs, coordinate with a Field Care Nurse, and conduct regular in-home or remote visits while ensuring cost-effective service delivery.

Reporting to the Manager of Care Coaching, you’ll document updates, maintain MCPs, and navigate community resources to improve members’ health and independence.

Qualifications

• Bachelor’s degree in human services or a related field with at least 1 year of experience serving frail elders or adults with intellectual, developmental, or physical disabilities.
• Bachelor’s degree in another field with at least 3 years of such experience.
• Valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits

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.

Skills

Case management

Electronic case notes

Education

Bachelor’s degree in human services or related field

Bachelor’s degree in another field with 3+ years relevant experience

Job description

Humana is seeking compassionate case managers to support Wisconsin Family Care members, focusing on frail elders and individuals with disabilities. You will assess needs, develop MCPs, coordinate with a Field Care Nurse, and conduct regular in-home or remote visits while ensuring cost-effective service delivery.

Reporting to the Manager of Care Coaching, you’ll document updates, maintain MCPs, and navigate community resources to improve members’ health and independence.