Case Manager

3M HEALTHCARE; La Crosse (WI); On-site; USD 53,700 - 72,600; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401(k)

Paid time off

Parental leave

Disability insurance

Life insurance

Job summary

Humana is seeking a Case Manager to serve members in the Wisconsin Family Care program. You will assess health and safety needs, develop a comprehensive Member Care Plan (MCP), and coordinate with a Field Care Nurse to support members in the least restrictive environment.

The role requires a Bachelor’s degree in human services or related field (or 3+ years of experience with another degree), valid driver’s license, up to 40% travel, and hours Monday–Friday 8:00 a.m.–4:30 p.m. CST.

Qualifications

• Bachelor’s degree in human services or a related field.
• At least 1 year of experience serving frail elders or adults with intellectual, developmental, or physical disabilities.
• Or a 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 and 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 supports members in the least restrictive environment following the MCP.
• Conduct face‑to‑face social assessments with members upon enrollment and 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 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

Valid driver's license

Education

Bachelor’s degree in human services or related field

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

Job description

Become a part of our caring community. Join Humana as a Case Manager within the Inclusa/Humana team, where you will serve members in the Wisconsin Family Care program. Reporting to the Manager of Care Coaching, you will provide comprehensive case management services to frail elders and adults with intellectual, developmental, or physical disabilities. Let’s make a difference together!

Main Responsibilities

• Assess members’ health and safety needs to identify their strengths, interests, and preferences and 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 supports members in the least restrictive environment following the MCP.
• Conduct face‑to‑face social assessments with members upon enrollment and 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 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

• Bachelor’s degree in human services or a related field.
• At least 1 year of experience serving frail elders or adults with intellectual, developmental, or physical disabilities.
• Or a 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.

Preferred Qualifications

• Reside within 45 minutes 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

• Work Location: La Crosse County, WI with some coverage in Monroe County.
• Travel: up to 40% of work days.
• Typical Workdays/Hours: Monday – Friday, 8:00 a.m. – 4:30 p.m. CST.
• Driving: Must maintain a valid state driver’s license and insurance; mileage reimbursement provided for work‑related travel between home and work locations.
• Work from a dedicated space lacking interruptions to protect member PHI / HIPAA information.

Compensation

$53,700 – $72,600 per year. Compensation may vary based on geographic location and individual qualifications.

Benefits

• Medical, dental, and vision coverage
• 401(k) retirement savings plan
• Paid time off, company and personal holidays, voluntary time off
• Paid parental and caregiver leave
• Short‑term and long‑term disability, life insurance

Equal Opportunity Employer

Humana is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. We take affirmative action to hire, promote, and retain people with disabilities and protected veteran status and base employment decisions only on valid job requirements. This policy applies to all employment actions, including recruitment, hiring, and training.