Case Manager- La Crosse

Humana Inc; Sparta (WI); On-site; USD 54,000 - 73,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement plan

Paid time off and holidays

Disability and life insurance

Job summary

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

You will build relationships, coordinate services, and help members reach personal health and independence goals from La Crosse/Sparta, WI, with travel up to 40% and a 40-hour workweek. TB screening and a driver-safety program are part of the role.

Qualifications

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

Responsibilities

• Assess members health and safety needs to develop a comprehensive Member Care Plan (MCP).
• Coordinate with a Field Care Nurse to provide services per MCP in the least restrictive environment.
• Conduct face-to-face social assessments with members upon enrollment and at least every six months, usually at the member's home.
• Conduct quarterly in-person visits and monthly phone contact with members.
• Arrange non-medical support services including social integration, community resources, employment, housing.
• Ensure cost-effective service delivery.
• Evaluate risk factors and provide member education.
• Maintain accurate documentation including case notes and MCP updates.

Skills

Valid driver's license

Education

Bachelor's degree in human services or related field

Bachelor's degree in a different 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.

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 and Sparta, 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.

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.

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.

• 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
• many other opportunities

About us

About Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity® which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum.

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.