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 WI (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.
• Self-provided internet service must meet minimum requirements: download speed of 25 Mbps and 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.

Schedule

• Monday – Friday, 8:00 am – 4:30 pm CST.
• 40 scheduled weekly hours.
• Travel up to 40% throughout the SW region; occasional travel to Humana's offices for training or meetings may be required.

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 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 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 uses a trademarked model of support called Commonunity®, focusing on the belief in everyone to achieve the common good. In 2022, Inclusa was acquired by Humana.

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. Learn more at Humana.com and CenterWell.com.