Float Case Manager

Improve your case management experience in this Float Case Manager role and make a difference within the Inclusa/Humana team, serving members in the Wisconsin Family Care (FC) program. In this dynamic role, you will collaborate with dedicated colleagues to deliver care and empower our members to excel in their daily lives. You will be a "float" associate and cover caseloads for team members in the SW Pod 2 region (Trempealeau, Jackson, La Crosse, Monroe, and Clark counties) that have exited their role or those on a leave.

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

• Four-year bachelor's degree in the 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.
• 3 or more years of Family Care experience.
• Must reside within the SW region of WI.
• Valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
• TB screening required as this role is considered patient-facing.
• Self-provided internet service with at minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps (wireless, wired cable, or DSL connection suggested).
• Work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information.

Work Location & Schedule

• SW region of Wisconsin (Trempealeau, Jackson, La Crosse, Monroe, and Clark counties).
• Travel: up to 40% throughout the SW region; occasional travel to Humana's offices for training or meetings may be required.
• Mileage reimbursement provided for work-related travel (home to first work location, between client locations, and final work location back to home).
• Typical work days/hours: Monday – Friday, 8:00 am – 4:30 pm CST.
• Scheduled weekly hours: 40.

Pay

The pay range reflects a good faith estimate of starting base pay for full-time (40 hours per week) employment at the time of posting. The pay 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.

$59,300 - $80,900 per year. This job is eligible for a bonus incentive plan based on company and/or individual performance.

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.

About Us

About Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across Wisconsin. As a values-based organization, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity®, which focuses on the belief in everyone to achieve the common good for all. In 2022, Inclusa was acquired by Humana.

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through Humana insurance services and CenterWell healthcare services, we make it easier for millions of people to achieve their best health by delivering care and services when needed.