Case Manager- La Crosse

Humana Inc; La Crosse (WI); Hybrid; USD 54,000 - 73,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) retirement savings

Paid time off

Parental leave

Disability insurance

Life insurance

Job summary

Humana Inc. is seeking a Case Manager for the Inclusa team to support Wisconsin Family Care members in navigating care and living independently.

You will assess needs, coordinate with a Field Care Nurse, and conduct regular visits to ensure comprehensive, person-centered care. Requires a Bachelor’s degree in human services or related field with relevant experience; a valid driver’s license and insurance are mandatory.

Qualifications

• Bachelor's degree in human services or related field required; 1 year of experience serving frail elders or adults with disabilities, or 3 years in related field with other degree.
• Valid state driver's license and liability insurance required (100/300/100).

Responsibilities

• Assess members' health and safety needs to develop a comprehensive Member Care Plan (MCP).
• Coordinate with Field Care Nurse to address health needs within least restrictive environment.
• Conduct face-to-face social assessments at enrollment and at least every six months.
• Conduct quarterly in-person visits and maintain monthly phone contact.
• Arrange social/community resources, employment, housing, and other non-medical services.
• Ensure cost-effective service delivery and educate on risk factors.
• Maintain documentation including case notes, service authorizations, and MCP updates.

Skills

Case management

Electronic records

Community health knowledge

Travel flexibility

Education

Bachelor's in human services or related field

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

Job description

# **Become a part of our caring community**Your next career move could come with a $3,000 bonus and the opportunity to make a difference right here in the La Crosse community! As a Case Manager with Humana's Inclusa team, you will support Wisconsin Family Care members in navigating their care and living as independently as possible. You will build meaningful relationships while coordinating the care and services members need to support their health, independence, and personal goals. You will serve members throughout La Crosse County and surrounding areas. And there's an added bonus: Earn a $3,000 hiring bonus, with $1,500 paid after 90 days and another $1,500 after 9 months. What are you waiting for? Apply today!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.* 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.# **Use your skills to make an impact****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.* 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*** **Work Location:** La Crosse County, WI and surrounding area* **Travel:** up to 40%* **Typical Workdays/Hours:** Monday – Friday, 8:00 am – 4:30 pm CST **Driving**You will be part of Humana's driver safety program and therefore requires you to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits. Mileage reimbursement is provided for work-related travel. Eligible mileage includes:* Travel from your home to your first work location of the day.* Travel between client or assignment locations during the workday.* Travel from your final work location back to your home. **TB Screening**This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.**Scheduled Weekly Hours**40**Pay Range**The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$53,700 - $72,600 per year**Description of Benefits**Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.