Case Manager- La Crosse

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

Benefits offered by this job

Mileage reimbursement

TB screening program

Job summary

Humana is hiring a Case Manager for the Inclusa team to support Wisconsin Family Care members in La Crosse County and surrounding areas.

You will coordinate care with a Field Care Nurse, conduct home-based assessments, and arrange social and non-medical services to promote independence and well-being.

Qualifications

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

Responsibilities

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

Education

Bachelor's degree in human services or related field

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.

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

• 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

$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