Remote Case Manager – Family Care & Community Support

004 Humana Insurance Company; Wisconsin; Hybrid; USD 54,000 - 73,000; Full time

Benefits offered by this job

Mileage reimbursement

TB screening program

Remote work option

Job summary

Humana, Inc. is seeking a compassionate and organized Case Manager to support Wisconsin Family Care members. You will assess health and safety needs, develop and manage a comprehensive MCP, and coordinate with a Field Care Nurse to deliver services in the least restrictive setting.

The role involves regular home visits and travel up to 40%. Must hold a Bachelor’s degree in human services or related field (or equivalent experience) and a valid driver’s license.

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 disabilities.
• Alternatively, a Bachelor's degree in another field with at least 3 years of such experience is acceptable.
• 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 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, typically at the member's home.
• Conduct quarterly in-person visits and maintain monthly contact by phone.
• Arrange non-medical support services including social integration, housing, and community resources.
• Maintain accurate documentation including MCP updates and service authorizations.
• Evaluate risk factors and educate members.

Skills

Case management

Bachelor's degree in human services

Driver's license

Education

Bachelor's degree in human services or related field

Job description

Humana, Inc. is seeking a compassionate and organized Case Manager to support Wisconsin Family Care members. You will assess health and safety needs, develop and manage a comprehensive MCP, and coordinate with a Field Care Nurse to deliver services in the least restrictive setting.

The role involves regular home visits and travel up to 40%. Must hold a Bachelor’s degree in human services or related field (or equivalent experience) and a valid driver’s license.