Case Manager - Taylor/Price County

About the role

Join Humana as a Case Manager within the Inclusa/Humana team, serving 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, supporting members in Taylor/Price County and surrounding areas.

Responsibilities

• Assess members' health and safety needs to identify strengths, interests, and preferences to develop a comprehensive Member Care Plan (MCP).
• Coordinate with a Field Care Nurse to provide services that address members' health and safety needs, ensuring the team provides support in the least restrictive environment following the MCP.
• Travel to members' locations to conduct face-to-face social assessments upon enrollment and at minimum every six months, typically at the member's residence.
• Travel to members' homes to conduct quarterly in-person visits and maintain monthly contact by phone.
• Arrange support services for members, 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.

Requirements

• Bachelor's degree in human services or a related field required, 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.
• Travel up to 40% of time to visit members.
• Valid state driver's license and proof of personal vehicle liability insurance with at least