Hybrid Case Manager

at Humana

• Job title: Case Manager
• Job type: Full Time
• Experience level: Junior
• Salary: $53,700 - $72,600 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Baldwin, United States

About the role

• Case Manager providing comprehensive care management and support for Family Care members in Wisconsin. Collaborating with teams to enhance member quality of life and access to resources.

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.

Requirements

• 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.
• Case Management experience (preferred)
• Experience with electronic case note documentation and experience with documenting in multiple computer applications/systems (preferred)
• Knowledge of community health and social service agencies and additional community resources (preferred)

Benefits

• Health benefits effective day 1
• Paid time off, holidays, volunteer time and jury duty pay
• Recognition pay
• 401(k) retirement savings plan with employer match
• Tuition assistance
• Scholarships for eligible dependents
• Parental and caregiver leave
• Employee charity matching program
• Network Resource Groups (NRGs)
• Career development opportunities