Case Manager

This is a fully remote position, open to applicants in Wisconsin.

📋 Description

• Evaluate the health and safety requirements of members and formulate detailed Member Care Plans.

• Collaborate with a Field Care Nurse to deliver services in alignment with each Member Care Plan.

• Perform in-person social assessments during enrollment and at least every six months, usually at members' homes.

• Conduct quarterly face-to-face visits and maintain monthly phone communication.

• Organize support services pertaining to social integration, community resources, employment, housing, and other non-medical needs.

• Ensure the provision of cost-effective services.

• Assess risk factors and offer educational guidance to members.

• Keep accurate records of case notes, service authorizations, and updates to Member Care Plans.

• Provide services to members enrolled in the Wisconsin Family Care program in Calumet, Outagamie, and Winnebago counties.

• Travel up to 40% of the time.

⛳️ Requirements

• A Bachelor's degree in human services or a related field along with a minimum of 1 year of experience working with frail elders or adults with intellectual, developmental, or physical disabilities.

• Alternatively, a Bachelor's degree in a different field with at least 3 years of relevant experience.

• A valid state driver's license is required.

• Proof of personal vehicle liability insurance with minimum limits of 100/300/100.

• Preference for candidates residing within 45 minutes or less of the designated coverage area.

• Experience in Case Management is preferred.

• Familiarity with electronic case note documentation is preferred.

• Knowledge of community health and social service agencies and additional community resources is preferred.

• Availability to work Monday–Friday from 8:00 am to 4:30 pm CST.

• A minimum home internet speed of 25 Mbps download and 10 Mbps upload is required for home or hybrid home/office employees.

• Ability to work from a designated space free from ongoing interruptions to safeguard member PHI/HIPAA information.

• Completion of a TB screening is mandatory if selected.

🏝️ Benefits

• Medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability coverage.

• Life insurance.

• Mileage reimbursement for work-related travel.

• Dedicated-space home working arrangement.

• Remote work with occasional travel to Humana offices for training or meetings.