Case Manager: Community & Home Care

Humana Inc; Wisconsin; Hybrid; USD 54,000 - 73,000; Full time

Benefits offered by this job

Mileage reimbursement

Job summary

Humana Inc. is seeking a Case Manager to serve members in the Wisconsin Family Care program, covering Dane/Columbia counties and surrounding areas.

You will assess health and safety needs, develop a comprehensive care plan, and coordinate with a Field Care Nurse to deliver services in the least restrictive environment. You will conduct initial and periodic social assessments, perform regular in-person visits, arrange non-medical support services, and maintain thorough documentation.

Qualifications

• 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.

Responsibilities

• Assess members health and safety needs to identify strengths, interests, and preferences to develop a comprehensive Member Care Plan (MCP).
• Coordinate with a Field Care Nurse to provide services addressing health and safety needs in the MCP.
• Conduct face-to-face social assessments with members upon enrollment and at least 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 MCP updates.

Skills

Case management

Communication

Driving

Education

Bachelor's degree in human services or related field

Bachelor's degree in another field with 3+ years of related experience

Tools

Electronic case note documentation

Job description

Humana Inc. is seeking a Case Manager to serve members in the Wisconsin Family Care program, covering Dane/Columbia counties and surrounding areas.

You will assess health and safety needs, develop a comprehensive care plan, and coordinate with a Field Care Nurse to deliver services in the least restrictive environment. You will conduct initial and periodic social assessments, perform regular in-person visits, arrange non-medical support services, and maintain thorough documentation.