Case Manager- Door and Brown, WI

Humana is a healthcare company committed to putting health first. They are seeking a Case Manager to serve members in the Wisconsin Family Care program, providing comprehensive social service care management to frail elders and adults with disabilities.

Responsibilities

• Assess members to identify their strengths, interests, and preferences, focusing on health and safety needs to develop a comprehensive Member Care Plan (MCP)
• Coordinate services that address members’ health and safety needs, ensuring support is provided in the least restrictive environment in accordance with the MCP
• Collaborate continuously with a Field Care Nurse (RN) to review and update care plans and address members’ evolving needs
• Conduct face-to-face social assessments with members upon enrollment and at minimum, every six months, typically at the member’s residence
• Schedule, conduct, and document quarterly in-person visits and maintain monthly contact with members by phone
• Identify, arrange, and monitor support services for members, including those related to social integration, community resources, employment, housing, and other non-medical needs
• Engage in clear and empathetic communication with members to better understand their needs, support informed decision-making, and ensure cost-effective service delivery
• Prioritize safety by continuously evaluating risk factors and providing education to members to promote overall health and wellness
• Maintain accurate and timely documentation of activities, including case notes, service authorizations, and updates to the Member Care Plan
• Foster direct collaboration with service providers, natural supports, and other community partners to enhance member outcomes
• Travel is necessary to conduct member visits and fulfill role responsibilities

Skills

• Four-year bachelor's degree in human services or related field with one (1) year of experience working with at least one of the Family Care target populations OR a four-year bachelor's degree in any other field with three (3) years' related experience working with at least one of the Family Care target populations
• Demonstrated intermediate computer proficiency, including experience with Microsoft Office applications
• Valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits
• Screening for Tuberculosis (TB) if selected for this role
• Case Management experience
• Experience with electronic case note documentation and experience with documenting in multiple computer applications/systems
• Knowledge of community health and social service agencies and additional community resources

Benefits

• Medical, dental and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance

Company Overview