Case Manager

Case Manager – Wisconsin Family Care Program 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 and support members in the Vernon County area. Responsibilities Assess members’ health and safety needs to identify strengths, interests, and preferences; develop a comprehensive Member Care Plan (MCP). Coordinate with a Field Care Nurse to provide services that address health and safety needs, ensuring support in the least restrictive environment defined by the MCP. Conduct face‑to‑face social assessments upon enrollment and at least 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, including 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. Required Qualifications Bachelor’s degree in human services or a related field, 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 acceptable. Part of Humana’s Tuberculosis (TB) screening program; TB screening is required. Preferred Qualifications Reside within 45 minutes 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. Work Information Work Location: Vernon County, WI. Travel: up to 40% of the workday; travel to client or assignment locations and between work locations. Typical Workdays/Hours: Monday – Friday, 8:00am – 4:30pm CST. Driving: requires a valid state driver’s license and proof of personal vehicle liability insurance with a minimum of 100/300/100 limits; mileage reimbursement is provided for work‑related travel. Compensation Pay Range: $53,700 – $72,600 per year, based on geography and experience. Benefits Competitive benefits include medical, dental, vision, a 401(k) retirement savings plan, paid time off (including holiday and volunteer time off), short‑term and long‑term disability, life insurance, and other opportunities. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. #J-18808-Ljbffr