Case Manager- Viroqua

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 in Viroqua.

Responsibilities

• Assess members' health and safety needs to identify their 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.
• Conduct face-to-face social assessments with members upon enrollment and at minimum, 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 for members, including those related to 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

• A Bachelor's degree in human services or a related field is 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 also acceptable.
• Valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
• Reside within 45 minutes or less of the assigned coverage area (preferred).

Preferred Qualifications

• Case Management experience.
• Experience with electronic case note documentation.
• Knowledge of community health and social service agencies and additional community resources.

Schedule

• Monday – Friday, 8:00 am – 4:30 pm CST.
• Scheduled weekly hours: 40.

Pay

The pay range for this full-time (40 hours per week) position is $53,700 - $72,600 per year. The range may be higher or lower based on geographic location, and individual pay will vary based on demonstrated job-related skills, knowledge, experience, education, and certifications.

Benefits

Humana offers competitive benefits that support whole-person well-being, including:

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

Additional Information

• Work Location: Viroqua, WI and surrounding area.
• Travel: Up to 40%, with mileage reimbursement for work-related travel (home to first location, between client locations, and final location back to home).
• Driving: Part of Humana's driver safety program; requires a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
• TB Screening: This role is considered patient-facing and requires Tuberculosis (TB) screening.
• Work at Home Requirements: Self-provided internet service must meet minimum download (25 Mbps) and upload (10 Mbps) speeds; wired cable or DSL connection suggested. A dedicated workspace free from ongoing interruptions is required to protect member PHI/HIPAA information.
• Occasional Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

About Inclusa: Inclusa manages a person-centered and community-focused approach to long-term care services and support for Family Care members across Wisconsin. Inclusa's trademarked model of support, Commonunity®, focuses on building vibrant and inclusive communities. In 2022, Inclusa was acquired by Humana, enabling industry-leading support for members across the healthcare continuum.

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company delivering care and services to millions through Humana insurance services and CenterWell healthcare services.