Float Case Manager

About the Role

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 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 Wisconsin (Trempealeau, Jackson, La Crosse, Monroe, and Clark counties).
• Valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits (mileage reimbursement provided for work-related travel).
• This role is considered patient-facing and requires Tuberculosis (TB) screening.

Work Location & Schedule

• Location: 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.
• Work Days/Hours: Monday – Friday, 8:00 am – 4:30 pm CST.
• Scheduled Weekly Hours: 40.
• Work Environment: Remote position with a dedicated workspace free from ongoing interruptions to protect member PHI/HIPAA information. Self-provided internet service must meet minimum download (25 Mbps) and upload (10 Mbps) speeds.

Pay

The pay range for this full-time (40 hours per week) position is $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 designed to support whole-person well-being, including:

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

About Us

About Inclusa: Inclusa manages a person-centered and community-focused approach to long-term care services and support for Family Care members across Wisconsin. As a values-based organization, Inclusa deploys a unique model of support called Commonunity®, which focuses on building vibrant and inclusive communities.

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company providing insurance services and healthcare solutions to millions of people, including Medicare and Medicaid beneficiaries, families, individuals, and military service personnel.