Case Manager - Richland County

Humana Inc; Northern (KY); Hybrid; USD 54,000 - 73,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) retirement plan

Paid time off

Job summary

Humana Inc. is seeking a dedicated Case Manager to support members in the Wisconsin Family Care program.

You will assess needs, coordinate with nursing staff, and conduct regular home visits to ensure comprehensive, person-centered care. You will document progress, manage authorizations, and help members access non-medical supports and community resources.

Qualifications

• Bachelor's degree in human services or related field; 1 year experience with frail elders or disabilities, or 3+ years in related field with another degree.
• Valid state driver's license and proof of personal vehicle liability insurance (100/300/100).
• Preferred: reside within 45 mins of the coverage area; case management experience; electronic case notes; knowledge of community resources.

Responsibilities

• Assess health and safety needs and develop a comprehensive Member Care Plan.
• Coordinate with Field Care Nurse to address needs in the least restrictive environment.
• Conduct face-to-face social assessments at enrollment and at least every six months.
• Conduct quarterly visits and maintain monthly contact by phone.
• Arrange non-medical supports including social integration, housing, and community resources.
• Ensure cost-effective service delivery and evaluate risk factors.
• Maintain accurate documentation including case notes, authorizations, and MCP updates.

Skills

Case management

Electronic case notes

Community health knowledge

Education

Bachelor's in human services

Bachelor's in another field with 3+ years 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 (FC) 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! You will support members in the Richland County & Iowa County areas.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:** Richland County & Iowa County 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.